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. 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
SECURITY U.S. Immigration and Customs Enforcement REQUEST FOR CONTINUED PRESENCE Part A.Informatlon on the; Vktlm;.` 1. Name: (Last) 2. Date of Birth (mo., day, yr) 5. Alias(es) 8. Passport Number 11. Social Security Number (First) 3. Country of Birth 6. Gender (check one) Male Female (Middle)
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.
Y U.S. Immigration and Customs Enforcement REQUEST FOR CONTINUED PRESENCE 'POPfliffoYminifion'ronttO\Vatitt 1. Name: (Last) (First) 2. Date of Birth (mo., day, yr) 3. Country of Birth 5. Alias(es) 8. Passport Number 11. Social Security Number (Middle) 4. Country of Citizenship 6. Gender (check o
. 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
OF HOMELAND SECURITY U.S. Immigration and Customs Enforcement REQUEST FOR CONTINUED PRESENCE Part A: Victkn 1. Name: (Last) (First) 2. Date of Birth (mo., day, yr.) 3. Country of Birth 02/21/1985 5. Alias(es) 8. Passport Number 11. Social Security Number (Middle) 4. Country of Citizenship 6. Ge
Entities connected to both Student and Exchange Visitor Information System and Birth (mo.
Requesting Law Enforcement Agency
ORGANIZATIONNew York State Division of Criminal Justice Services
ORGANIZATIONContact Information, Certification
ORGANIZATION
Homeland Security
ORGANIZATIONNational Crime Information Center
ORGANIZATIONParole and Law Enforcement Programs Unit
ORGANIZATIONMonitoring Group
ORGANIZATIONMonitoring Case
ORGANIZATIONAlbany
LOCATION
Department of Homeland Security
ORGANIZATION
Jeffrey Epstein
PERSONthe Social Security Administration
ORGANIZATIONNew York Field Office
LOCATION
Michael C.Green
PERSONthe NYS Division of Criminal Justice Services
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONFederal, State
ORGANIZATIONPreparer
ORGANIZATIONOffice of Refugee Resettlement
ORGANIZATIONU.S. Citizenship and Immigration Services
ORGANIZATION