Form I-929 - Petition For Qualifying Family Member Of A U-1 Nonimmigrant Page 6

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Part 3. Information About Your Alien Relative's Children (Cont'd)
Street Number and Name
Apt. Number
City
State/Province
Country
Postal/Zip Code
A-Number
Country of Birth
Name of Mother
Last Name (Family Name)
First Name (Given Name)
Middle Name
Name of Father
Last Name (Family Name)
First Name (Given Name)
Middle Name
Last Name (Family Name)
First Name (Given Name)
Middle Name
Date of Birth
Place of Birth
Biological Child
Stepchild
Adopted Child
Gender: (Check one)
Male
Female
Street Number and Name
Apt. Number
City
State/Province
Country
Postal/Zip Code
A-Number
Country of Birth
Name of Mother
Last Name (Family Name)
First Name (Given Name)
Middle Name
Name of Father
Last Name (Family Name)
First Name (Given Name)
Middle Name
Name and address of your alien relative in the language written in the country where he/she currently resides.
Last Name (Family Name)
First Name (Given Name)
Middle Name
C/O: (In Care Of)
Street Number and Name
Apt. Number
City/State or Province
Country
Postal/Zip Code
Form I-929 (10/04/11) Y Page 6

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