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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
ant's Contact Information 4. Applicant's Daytime Telephone Number 5. Applicant's Mobile Telephone Number 6. Applicant's E-mail Address Part 5. Contact Information, Certification, and Signature of the Interpreter Interpreter's Full Name Provide the following information concerning the interpreter: l.a. Interpreter's Family
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
Signature (mmiddiyyyy) ► Applicant's Contact Information 4. a Number 5. A limes Mobile Tel hone Number 6. A licant's E-mail Address Part 5. Contact Information, Certification, and Signature of the Interpreter Interpreter's Full Name Provide the following information concerning the interpreter: 1.a. Interpreter's Family
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
Signature (mm/dd/yyyy) ► Applicant's Contact Information 4. a Number 5. A limes Mobile Tel hone Number 6. A licant's E-mail Address Part 5. Contact Information, Certification, and Signature of the Interpreter Interpreter's Full Name Provide the following information concerning the interpreter: 1.a. Interpreter's Family
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
tforingthit 4. Interpreter's Daytime Telephone Number 5. Interpreter's E-mail Address Fox= I-102 10/19/17 N Page 3 of 4 EFTA01699765 Part 5. Contact Information, Certification, and Signature of the Interpreter(continued) Interpreter Certification I certify that: I am fluent in English and ,which is the same language
Entities connected to both Board of Immigration Appeals and Contact Information, Certification

Department of Homeland Security
ORGANIZATION
Michael C.Green
PERSON
Homeland Security
ORGANIZATIONAlbany
LOCATIONthe Social Security Administration
ORGANIZATIONNew York Field Office
LOCATION
Jeffrey Epstein
PERSONthe NYS Division of Criminal Justice Services
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONFederal, State
ORGANIZATIONPreparer
ORGANIZATIONNew 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
ORGANIZATIONLast Entry
ORGANIZATIONFederal Bureau of Investigation - New York
ORGANIZATIONU.S. Citizenship and Immigration Services
ORGANIZATION