Form I-687 - Application For Status As A Temporary Resident Under Section 245a Of The Immigration And Nationality Act Page 8
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9Illicitly trafficked in any controlled substance, or knowingly assisted, abetted, or colluded in the illicit
Yes
No
trafficking of any controlled substance?
Engaged in, conspired to engage in, or do you intend to engage in, or have you ever solicited
Yes
No
membership or funds for, or have you through any means ever assisted or provided any type of material
support to any person or organization that has ever engaged or conspired to engage in sabotage,
kidnapping, political assassination, hijacking, or any other form of terrorist activity?
Yes
No
Been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party?
Engaged in genocide, or otherwise ordered, incited, assisted, or otherwise participated in the killing of
Yes
No
any person because of race, religion, nationality, ethnic origin, or political opinion?
Been deported, excluded, or removed from the United States at government expense, or have you ever
Yes
No
been or are you now in exclusion, deportation, removal, or rescission proceedings?
Left the United States to avoid being drafted into the United States Armed Forces?
Yes
No
Been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement
Yes
No
and have not yet complied with that requirement or obtained a waiver?
40. Do you intend to engage in the United States in:
A. Espionage?
Yes
No
B. Any activity a purpose of which is opposition to, or the control or overthrow of, the government
Yes
No
of the United States, by force, violence, or other unlawful means?
Yes
No
C. Any activity to violate or evade any law prohibiting the export from the United States of goods,
technology, or sensitive information?
41. Did you, during the period from March 23, 1933 to May 8, 1945, in association with either the Nazi
Yes
No
Government of Germany or any organization or government associated or allied with the Nazi
Government of Germany, ever order, incite, assist, or otherwise participate in the persecution of
any person because of race, religion, national origin, or political opinion?
42. Are you under a final order of civil penalty for violating section 274C of the Immigration and
Yes
No
Nationality Act for use of fraudulent documents or have you, by fraud or willful misrepresentation
of a material fact, ever sought to procure, or procured, a visa, other documentation, entry into the
United States, or any immigration benefit?
43. Are you now withholding custody of a United States citizen child outside the United States from a
Yes
No
person granted custody of the child?
44. Do you plan to practice polygamy in the United States?
Yes
No
45. If your native alphabet is in other than Roman letters, write your name in your native alphabet.
46. Language of your native alphabet.
Form I-687 (11/23/10) Y Page 8
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