Form G-281 - Notice Of Entry Of Appearance As Attorney In Matters Outside The Geographical Confines Of The United States Page 3

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Part 6. Additional Information
Part 4. Applicant, Petitioner, or Respondent
Consent to Representation, Contact Information,
Use the space provided below to provide additional information
and Signature (continued)
pertaining to Part 3., Item Numbers 1.a. - 1.c.
2.b.
I request that DHS send any secure identity document,
such as a Permanent Resident Card, Employment
Authorization Document, or Travel Document, that I
am approved to receive and authorized to possess, to
the business address of my attorney of record as listed
in this form. I consent to having my secure identity
document sent to my attorney of record and understand
that I may request, at any future date and through
written notice to DHS, that DHS send any secure
identity document to me directly.
3.a. Signature of Applicant, Petitioner, or Respondent
3.b. Date of Signature (mm/dd/yyyy) ►
Part 5. Signature of Attorney
I have read and understand the regulations and conditions
contained in 8 CFR 103.2 and 292 governing appearances and
representation before the Department of Homeland Security.
I declare under penalty of perjury under the laws of the United
States that the information I have provided on this form is true
and correct.
1.a. Signature of Attorney
1.b. Date of Signature (mm/dd/yyyy) ►
Form G-28I 03/04/15 N
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