LS. Department or Homeland Security Continuation Page for Form I-867A Alien's Nome CEP F w Sews SIGMA in Eve= ee A. No. What fa 'inn rnrreirt As!. and nlens no b. • ....INS Q. Of what country are you a citizen or natimmiii- A. Russia. hut May 13, 2013 Q. Do you have any claim to United Staten c.tt.rectithip or lawful permanent residence? A. No. Q. Of what country aro you a resident? A. I live in Russia. Q A Wh,f In teem,. aelArana In DAinn4n, Q. What is the citizenship of your parents? A. My parents are both Russian. Q. Do either of your parents have any claim to xzted States Citizenship or Lawful permanent residence? A. No. Q. Do your parents have any pending petitions wttit Citizenship and Immigration Services, Customs and Border Protection, or the former Iectvration and Naturalization Service? A. No. Q. Are you married? A. No. Q. Do you have any children? A. No. Q. On what airline did you arrive to the United States? A. I arrived on Transero Air flight UN 1111. Q. Did you present this ian passport ontaining this B1/82 non-immigrant visa foil to a United Ste-e and Border Protection Officer for admission to the Uni today? A. Yes. Q. Are you traveling alone? A. I am traveling alone. Q. What is the purpose for your trip to the United States today? A. I came to visit as a tourist. Q. Where do you plan on staying while you are resi<tIna In Ph. nol4 Oad Ctotroom? A. I plan on staying with my two friends located at Q. Will you be paying rent while residing in the United States? ...(CONTINUED ON NEXT PAGE) Signature 1 vim 1.831 Continuation Page (Rev. 08/01/07) title CDR OPFICZR 2 of 6 Pages EFTA01597968