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11) Page 2 of 4 EFTA00173133 / Supervisory Special Agent 6. Is employment authorization requested? N Yes 0 No (If yes, please attach completed U.S. Citizenship and Immigration Services Forms 1-765, Application for Employment Authorization, and 1-102, Application for Replacement/Initia! Nonimmigrant Arrival/Departure Document) Note
Stamp Action Block Valid From • Authorization/Extension Valid Through Alien Registration Number A- Remarks To be completed by an attorney or Board of Immigration Appeals (BIA)- accredited representative (if any). K Select this box if Form C-28 Is attached. Attorney or Accredited Representative USCIS Online Account
SITIVE ICE Form 73-031 (4/11) Page 2 of 4 EFTA01684005 6. Is employment authorization requested? El Yes ID No (If yes, please attach completed U.S. Citizenship and Immigration Services Forms 1-765, Application for Employment Authorization, and 1-102. Application for Replacement/Initial Nonimmigrant ArriveDeparture Document.) Note;
Fee Stamp Action Block 0 Authorization/Extension K Valid Through Allen Registration Number A-L i I Remarks To be completed by an attorney or Board of Immigration Appeals (BIA)- accredited representative (if any). O Select this box if Form G-28 is attached. Attorney or Accredited Representative USCIS Online Accoun
ENFORCEMENT SENSITIVE EFTA01699762 Application for Replacement/Initial Nonimmigrant Arrival-Departure Document Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-102 OMB No. 1615-0079 Expires 10/31/2019 For. i WOO Receipt Action Block UJe. : i I :Otifr• ! New I-94 Number I . Remarks
From For Authorization/Extension Valid Through USCIS Use Only Alien Registration Number A- I I I Remarks To be completed by an attorney or Board of Immigration Appeals (13IA)- accredited representative (if any). Select this box if Form G-28 is attached. Attorney or Accredited Representative USCIS Online Account
Entities connected to both U.S. Citizenship and Immigration Services and Board of Immigration Appeals

Jeffrey Epstein
PERSON
Department of Homeland Security
ORGANIZATIONFBI
ORGANIZATION
Homeland Security
ORGANIZATION
United States
LOCATION
Department of Justice
ORGANIZATIONAlbany
LOCATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONNew York Field Office
LOCATIONFederal, State
ORGANIZATIONPreparer
ORGANIZATIONU.S. Social Security
ORGANIZATION
Michael C.Green
PERSON
Birth
PERSONNew York State Division of Criminal Justice Services
ORGANIZATIONNational Crime Information Center
ORGANIZATIONParole and Law Enforcement Programs Unit
ORGANIZATIONRequesting Law Enforcement Agency
ORGANIZATIONMonitoring Group
ORGANIZATIONMonitoring Case
ORGANIZATION