Epstein Secrets

l names, use the space provided in Part 7. Additional Information. 3.a. Family Na (Last Na 3.b. Given Na (First Nam 3.c. Middle Na 4. Date of Birth (nun/dd/yyyy) 5. Gender O Male Ela Female Part 2. Agency Information 1. Name of Certifying Agency Federal Bureau of Investigations Name of

of which he o she is a victim, I will notify USCIS. I. Signature of Certifying Official (sign in ink) 4 2. Date of Signature (miniddiyyyy) 3. Daytime Telephone Number 4. Fax Number Form 1.918 Supplement a 04/24/2019 Page 4 g 5 A A EFTA00155348 Part 7. Additional Information 1 If you need extra space to comp

section, use the space provided in Part 9. Additional Information. Family Name (Last Name) Given Name (First Name) Middle Name (if any) Date of Birth (ddirrun/yyyy) 4. Gender or Sex El Male El Female El Other Alien Registration Number (A-Number) (if any) P. A- U.S. Social Security Number (SSN)

Date Receipt Remarks 26 Federal Plaza City or Town (ILSPI VP rode Lank -A Apt. Ste. Flr. Number 0 0 El State ZIP Code NY New York 6. Daytime Telephone Number 7. Fax Number 102711 Form 1-914. Supplement B Edition 12/C0/21 Page I EFTA00156636 Part 2. Agency Information (continued) 8. Agency Type El

e the space provided in Part 9. Additional Information. Family Name (Last Name) Given Namc (First Name) Middle Name (if any) 3. 5. 6. Date of Birth (dd/mm/yyyy) 4. Gender or Sex K Male ❑X Female K Other Alien Registration Number (A-Number) (if any) ► A- U.S. Social Security Number (SSN) (if

Date Date Reloc Rec'd Date Date Receipt Remarks 26 Federal Plaza City or Town New York IMPS ZIP Co* Loging2 Apt. Ste. Flr. State NY 6. Daytime Telephone Number 7. Fax Number Number ZIP Code 10278 Form 1-914. Supplement B Edition 12/02/21 Page EFTA01653122 Part 2. Agency Information (continued) 8. A

N Page I of 20 EFTA00525459 Part 2. Information About You (Person applying for naturalization) (continued) A- 3. Other Names You Have Used Since Birth (include nicknames, aliases, and maiden name, if applicable) Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) 4. Name

Describe the nature of your disability and/or impairment and the accommodation you are requesting.) Part 4. Information to Contact You 1. 3. 5. Daytime Telephone Number 2. 4. Work Telephone Number (if any) Evening Telephone Number Mobile Telephone Number (if any) Email Address (if any) Part 5. Information Abou