Fillable Form I-129f - Petition For Alien Fiance(E) (Page 5 of 6) in pdf

Part 2. Information About Your Alien Fiancé(e) (continued)

NOTE: Designation of a U.S. embassy or consulate outside the

Your fiancé(e) will apply for a visa abroad at the American

embassy or consulate at:

country of your fiancé(e)'s last residence does not guarantee

acceptance for processing by that foreign post. Acceptance is at

36.a.

City or Town

the discretion of the designated embassy or consulate.

36.b. Country

Part 3. Other Information

1. If you are serving overseas in the Armed Forces of the United

3. If you have provided information about a conviction for a

States, please answer the following:

crime listed above and you were being battered or subjected to

extreme cruelty by your spouse, parent, or adult child at the time

I presently reside or am stationed overseas and my current

of your conviction, check all of the following that apply to you:

mailing address is:

3.a.

I was acting in self-defense.

1.a. Street Number

and Name

3.b.

I violated a protection order issued for my own

protection.

1.b. Apt.

Ste.

Flr.

3.c.

I committed, was arrested for, was convicted of, or

1.c. City or Town

plead guilty to committing a crime that did not result

in serious bodily injury, and there was a connection

1.d. State

1.e. Zip Code

between the crime committed and my having been

battered or subjected to extreme cruelty.

1.f.

Postal Code

If your beneficiary is your fiancé(e) and: (a) this is the third (or

more) Form I-129F petition that you have filed; or (b) this is the

1.g. Province

third (or more) Form I-129F petition you have filed and your

first Form I-129F petition was approved within the last 2 years,

1.h. Country

then your petition cannot be approved unless a waiver of the

2. Have you ever been convicted by a court of law (civil or

multiple filing restriction is granted. Attach a signed and dated

criminal) or court martialed by a military tribunal for any

letter, requesting the waiver and explaining why a waiver is

of the following crimes:

appropriate under your circumstances, together with any

evidence in support of the waiver request.

2.a.

Domestic violence, sexual assault, child abuse and

neglect, dating violence, elder abuse or stalking? (Please

Indicate which waiver applies:

refer to Page 3 of the instructions for the full definition of

Multiple Filer, No Disqualifying Convictions

the term "domestic violence").

Yes

(General Waiver)

2.b.

Homicide, murder, manslaughter, rape, abusive sexual

Multiple Filer, Prior Criminal Conviction for

contact, sexual exploitation, incest, torture, trafficking,

Specified Offenses (Extraordinary Circumstances

peonage, holding hostage, involuntary servitude, slave

Waiver)

trade, kidnapping, abduction, unlawful criminal restraint,

Multiple Filer, Prior Criminal Convictions Resulting

false imprisonment or an attempt to commit any of these

from Domestic Violence (Mandatory Waiver)

crimes?

Yes

Not applicable, beneficiary is my spouse

2.c.

Three or more convictions for crimes relating to a controlled

substance or alcohol not arising from a single act?

NOTE: See Page 3, question 3.b. of the filing instructions.

Yes

These questions must be answered 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. Using a separate sheet(s) of paper, provide information

relating to the conviction(s), such as crime involved, date of

conviction and sentence.

Form I-129F 06/13/13 N

Page 5 of 6

Form I-129f - Petition For Alien Fiance(E) Page 5

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