Contact Information, Certification
ORGANIZATIONStudent and Exchange Visitor Information System
ORGANIZATION4
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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
. Your Current Immigration Status or Category (for example, B-2 visitor, F-I student, parolee, deferred action, or no status or category) E2 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) ► N- Information About Your Eligibility Category 27. Eligibility Category. Refer to the Who May File Form 1-765 section
ntact Information 4. 5. 6. A licant's Da time Tel hone Number A licant's Mobile Tele hone Number E-mail A licant's Address --/N/24o 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
25. Your Current Immigration Status or Category (for example, B-2 visitor, F- I student, parolee, deferred action, or no status or cate o ) 26. Student and Exchange Visitor Information System (SEWS) Number (if any) ► N- 28.c. Employer's E-Verify Company Identification Number or a Valid E-Verify Client Company Identification Number 29.
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
. Your Current Immigration Status or Category (for example, B-2 visitor, F-I student, parolee, deferred action, or no status or category) E 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) ► N- Information About Your Eligibility Category 27. Eligibility Category. Refer to the Who May File Form I-765 section o
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
. Your Current Immigration Status or Category (for example, B-2 visitor, F-I student, parolee, deferred action, or no status or category) E 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) ► N- Information About Your Eligibility Category 27. Eligibility Category. Refer to the Who May File Form I-765 section o
Entities connected to both Contact Information, Certification and Student and Exchange Visitor Information System
New York State Division of Criminal Justice Services
ORGANIZATIONMonitoring Group
ORGANIZATIONNational Crime Information Center
ORGANIZATIONPreparer
ORGANIZATIONParole and Law Enforcement Programs Unit
ORGANIZATION
Jeffrey Epstein
PERSON
Homeland Security
ORGANIZATIONAlbany
LOCATIONRequesting Law Enforcement Agency
ORGANIZATION
Department of Homeland Security
ORGANIZATIONthe Social Security Administration
ORGANIZATIONNew York Field Office
LOCATION
Michael C.Green
PERSONthe NYS Division of Criminal Justice Services
ORGANIZATIONMonitoring Case
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONFederal, State
ORGANIZATIONthe Intelligence Community
ORGANIZATIONOffice of Refugee Resettlement
ORGANIZATIONICE-011 Immigration and Enforcement Operational Records
ORGANIZATION