Form I-918 - Petition For U Nonimmigrant Status Page 3

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Part 2. Additional information.
(Continued.)
10. If you are outside the United States, give the U.S. consulate or inspection facility you want notified if this petition is approved.
Type of Office (Check one):
Consulate
Pre-flight inspection
Port of Entry
Office Address (City)
U.S. State or Foreign Country
Safe Foreign Address Where You Want Notification Sent - Street Number and Name
Apt. #
City
State/Province
Country
Zip/Postal Code
Part 3. Processing information.
Please answer the following questions about yourself. For the purposes of this petition, you must answer “Yes” to the following
questions, if applicable, even if your records were sealed or otherwise cleared or if anyone, including a judge, law enforcement officer
or attorney, told you that you no longer have a record. (Answering “Yes” does not necessarily mean that you will be denied U
nonimmigrant status.)
1. Have you EVER:
a. Committed a crime or offense for which you have not been arrested?
Yes
No
b. Been arrested, cited or detained by any law enforcement officer (including DHS, former
Yes
No
INS and military officers) for any reason?
c. Been charged with committing any crime or offense?
Yes
No
d. Been convicted of a crime or offense (even if violation was subsequently expunged or
Yes
No
pardoned)?
e. Been placed in an alternative sentencing or a rehabilitative program (for example: diversion,
Yes
No
deferred prosecution, withheld adjudication, deferred adjudication)?
f. Received a suspended sentence, been placed on probation or been paroled?
Yes
No
g. Been in jail or prison?
Yes
No
Yes
No
h. Been the beneficiary of a pardon, amnesty, rehabilitation, or other act of clemency or
similar action?
i. Exercised diplomatic immunity to avoid prosecution for a criminal offense in the United States?
Yes
No
If you answered “Yes” to any of the above questions, complete the following table. If you need more space, use a separate
sheet of paper to give the same information.
Date of arrest, citation,
Where were you arrested, cited,
Outcome or disposition.
Why were you arrested, cited,
detention, charge.
detained or charged?
(e.g., no charges filed, charges
detained or charged?
(mm/dd/yyyy)
(City, State, Country)
dismissed, jail, probation, etc.)
Form I-918 (Rev. 11/23/10) Y Page 3

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