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it appears on Form 1-94, I-94W, or I-95. 3.a. Family Name (Last Name) 3.b. Given Name (First Name) 3.c. Middle Name 4. Class of Admission at Last Entry into the United States E2 5. Place of Last En into the United States City and State) Form 1-102 10/19/17 N Page 2 of 4 EFTA01731225 Part 4.
s O No al yes, please attach completed U.S. Citizenship and Immigration Services Forms I-765, Application for Employment Authorization, and I-102, Application for Replacement/Initial Nonimmigrant Arrival/Departure Document.) Note: Information contained in question #7 is not required fora victim to receive Continued Presen
it appears on Form 1-94, I-94W, or I-95. 3.a. Family Name (Last Name) 3.b. Given Name (First Name) 3.c. Middle Name 4. Class of Admission at Last Entry into the United States E2 5. Place of Last En into the United States City and State) Form 1-102 10/19/17 N Page 2 of 4 EFTA01684010 Part 4.
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; Information contained in question #7 is not required for a victim to receive Continued Presenc
I-94 when I entered as a nonimmigrant member of the military, and I am filing this application for an initial Form I-94. 4. Class of Admission at Last Entry into the United States E 5. Place of Last Entry into the United States (City and State) OartJ: :Pro- cessing Information . La. Are you filing th
s O No (If yes, please attach completed U.S. Citizenship and immigration Services FORM 1-765; Application for Employment Authorization, and 1-102, Application for Replacement/Initial Nonimmigrant Arrival/Departure Document) Note: Information contained in question # 7-is not required for a victim to receive Continued Prese
Entities connected to both Last Entry and Application for Replacement
New York State Division of Criminal Justice Services
ORGANIZATIONContact Information, Certification
ORGANIZATIONMonitoring Case
ORGANIZATIONMonitoring Group
ORGANIZATIONRequesting Law Enforcement Agency
ORGANIZATION
Homeland Security
ORGANIZATIONAlbany
LOCATIONParole and Law Enforcement Programs Unit
ORGANIZATION
Department of Homeland Security
ORGANIZATIONthe Social Security Administration
ORGANIZATIONNew York Field Office
LOCATION
Michael C.Green
PERSONthe NYS Division of Criminal Justice Services
ORGANIZATIONNational Crime Information Center
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONFederal, State
ORGANIZATIONPreparer
ORGANIZATION
Jeffrey Epstein
PERSONFederal Bureau of Investigation - New York
ORGANIZATIONBoard of Immigration Appeals
ORGANIZATION