Fillable Form I-730 - Refugee/asylee Relative Petition (Page 4 of 4) in pdf

Read the information on penalties in the instructions and the warning in Part 4 before completing this section and

Part 5. Signature of Petitioner

sign below. If someone other than the beneficiary helped you to prepare this petition, that person must complete

Part 7.

I certify or, if outside the United States, I swear or affirm, under penalty of perjury under the laws of the United States of America, that this petition and the evidence

submitted with it is all true and correct. I authorize the release of any information from my record that U.S. Citizenship and Immigration Services needs to determine

eligibility for the benefit I am seeking.

Signature

Print Full Name

Daytime Telephone Number

Date

NOTE: If you do not completely fill out this form or if you fail to submit the required documents listed in the instructions, your relative may not be found eligible for the

requested benefit and this petition may be denied.

Part 6. Signature of Beneficiary, if in the

Read the information on penalties in the instructions and the warning in Part 4 before

completing this section and sign below. If someone other than the petitioner helped

United States

you to prepare this petition, that person must complete Part 7.

NOTE: If the beneficiary is not currently in the United States, this section should be left blank.

I certify under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it is all true and correct. I authorize

the release of any information from my record that U.S. Citizenship and Immigration Services needs to determine eligibilty for the benefit I am seeking.

Signature

Daytime Telephone Number

Print Full Name

Date

NOTE: If you do not completely fill out this form or if you fail to submit the required documents and biometrics listed in the instructions, you may not be found eligible

for the requested benefit and this petition may be denied.

Part 7. Signature of Person Preparing Form, If Other Than Petitioner or Beneficiary Above

I declare that I prepared this petition at the request of

(name of person(s) above), and it is based on all of the information of which I

have knowledge.

Signature

Daytime Telephone Number

Print Full Name

Date

E-Mail Address (If any)

Firm Name and Address

Part 8. To Be Completed at Interview of Beneficiary, If Applicable

(14 years of age or older)

Beneficiaries in the United States will be interviewed by USCIS officers. Their petitioners may also be interviewed. Beneficiaries living overseas will be interviewed

by a USCIS officer or a DOS consular officer.

I swear (affirm) that I know the contents of this petition that I am signing, including the attached documents and supplements, and that they are

all true or

not all true to the best of my knowledge and that correction(s) numbered

were made by me or at my request.

With these corrections, the information on this form is now true.

Signed and sworn before me by the beneficiary named herein on:

Date (mm/dd/yyyy)

Signature of Beneficiary

Write your Name in your Native Alphabet

Signature of USCIS Officer or DOS Consular Officer

Beneficiary Approved for Travel, Admission Code: