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r (A-Number) (if any) 6. U.S. Social Security Number (SSN) (if any) Part 2. Agency Information I. 2. 3. 4. 5. 6. Name of Certifying Agency Federal Bureau of Investigations Name of Cenifying Official Title of Certifying Official Special Agent Division/Office of Certifying Official New York Field Office Agency Maili
3. 4. 5. 6. Name of Certifying Agency Federal Bureau of Investigations Name of Cenifying Official Title of Certifying Official Special Agent Division/Office of Certifying Official New York Field Office Agency Mailing Address Street Number and Name 26 Federal Plaza City or Town New York Daytime Telephone Number
rst 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 Certifying Official 2.a. Family Name (Last Name) 2.b. Given Name (First Name) 2.c. Middle Name 3. Title and Division/Office of Certif
Bureau of Investigations Name of Certifying Official 2.a. Family Name (Last Name) 2.b. Given Name (First Name) 2.c. Middle Name 3. Title and Division/Office of Certifying Official Name of Head of Certifying Agency 4.a. Family Name (Last Name) 4.b. Given Name (First Name) 4.c. Middle Name 5.a. Street Number and
tration P. A- U.S. Social Number Security Number (SSN) (if any) Part 2. Agency Information 1. 2. 3. 4. 5. 6. Name of Certifying Agency 'Federal Bureau of Investigations Name of Certifying Official Title of Certifying Official Division/Office of Certifying Official Agency Mailing Address Street Number and Name 2
ion 1. 2. 3. 4. 5. 6. Name of Certifying Agency 'Federal Bureau of Investigations Name of Certifying Official Title of Certifying Official Division/Office of Certifying Official Agency Mailing Address Street Number and Name 26 Federal Plaza City or Town New York Daytime Telephone Number 7. Fax Number For USC
stration Number (A-Number) (if any) P. A- U.S. Social Security Number (SSN) (if any) .r Part 2. Agency Information 1. Name of Certifying Agency Federal Bureau of Investigations 2. Name of Certifying Official 3. Title of Certifying Official 4. Division/Office of Certifying Official 5. Agency Mailing Address Street Nu
Information 1. Name of Certifying Agency Federal Bureau of Investigations 2. Name of Certifying Official 3. Title of Certifying Official 4. Division/Office of Certifying Official 5. Agency Mailing Address Street Number and Name For USCIS Use Only Returned Date Date Resubmitted Date Date Reloc Sent Date Da
Registration Number (A-Number) (if any) ► A- U.S. Social Security Number (SSN) (if any) Part 2. Agency Information I. Name of Certifying Agency Federal Bureau of Investigations 2. Namc of Certifying Official 'Amanda Young 3. Title of Certifying Official Special Agent 4. Division/Office of Certifying Official 'New Yo
ifying Agency Federal Bureau of Investigations 2. Namc of Certifying Official 'Amanda Young 3. Title of Certifying Official Special Agent 4. Division/Office of Certifying Official 'New York Field Office 5. Agency Mailing Address Street Number and Name For USCIS Use Only Returned Date Date Resubmitted Date Da
Entities connected to both FBI and Division/Office of Certifying

Jeffrey Epstein
PERSON
United States
LOCATION
Ghislaine Maxwell
PERSONNew York Field Office
LOCATIONU.S. Citizenship and Immigration Services
ORGANIZATION
Birth
PERSONReloc Sent
LOCATIONDelaration of Law Enforcement
ORGANIZATIONVTVPA
ORGANIZATION
Slovakia
LOCATIONU.S. Social Security
ORGANIZATIONDaytime Telephone Number
ORGANIZATIONEl Completed
LOCATIONItem B.
PERSONUSC 2423(a
ORGANIZATIONEl Federal
ORGANIZATIONEl Tribal
ORGANIZATIONEl Law Enforcement
ORGANIZATIONDSC 1591(a
ORGANIZATIONDSC 2423(a
ORGANIZATION