Part 2. Information About Your Beneficiary
(continued) |
Mailing Address for Your Beneficiary
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Your Beneficiary's Address History
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Provide your beneficiary's physical addresses for the last five
years, whether inside or outside the United States. Provide your
beneficiary's current address first if it is different from the
mailing address in Item Numbers 11.a. - 11.i. If you need
extra space to complete this section, use the space provided in
Part 8. Additional Information.
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Beneficiary's Physical Address 1
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Beneficiary's Physical Address 2
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Your Beneficiary's Employment History
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Provide your employment history for the last five years,
whether inside or outside the United States. Provide your
current employment first. If you need extra space to complete
this section, use the space provided in Part 8. Additional
Information.
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16.
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Full Name of Employer
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Part 2. Information About Your Beneficiary
(continued) |
20.
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Full Name of Employer
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22.
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Beneficiary's Occupation (specify)
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Information About Your Beneficiary's Parents |
28,a.
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City/Town/Village of Residence
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28.b.
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Country of Residence
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33.a.
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City/Town/Village of Residence
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33.b.
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Country of Residence
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Other Information About Your Beneficiary
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34.
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Has your beneficiary ever been previously married?
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If you answered "Yes" to Item Number 34., provide the names
of each prior spouse and the date each prior marriage ended in
Item Numbers 35.a. - 36. If you need to provide information
for more than one spouse, use the space provided in Part 8.
Additional Information.
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37.
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Has your beneficiary ever been in the United States?
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If your beneficiary is currently in the United States, complete Item Numbers 38.a. - 38.h. |
38.a.
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He or she last entered as a (for example, visitor, student,
exchange alien, crewman, stowaway, temporary worker,
without inspection):
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38.b.
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I-94 Arrival-Departure Record Number |
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Part 2. Information About Your Beneficiary (continued) |
38.d.
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Date authorized stay expired or will expire as shown on Form I-94 or I-95 (mm/dd/yyyy)
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38.f.
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Travel Document Number
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38.g.
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Country of Issuance for Passport or Travel Document
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38.h.
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Expiration Date for Passport or Travel Document
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39.
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Does your beneficiary have any children?
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If you answered "Yes" to Item Number 39., provide the following information about each child. If you need to provide information for more than one child, use the space provided in Part 8. Additional Information. |
43.
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Does this child reside with your beneficiary?
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If the child does not reside with your beneficiary, provide the child's physical residence. |
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Address in the United States Where Your Beneficiary Intends to Live
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46.
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Daytime Telephone Number
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Your Beneficiary's Physical Address Abroad |
48.
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Daytime Telephone Number
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Your Beneficiary's Name and Address in His or Her Native Alphabet |
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Part 2. Information About Your Beneficiary (continued) |
51.
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Is your fiancé(e) related to you?
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52.
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Provide the nature and degree of relationship (for example, third cousin or maternal uncle).
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53.
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Have you and your fiancé(e) met in person during the two years immediately before filing this petition?
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If you answered "Yes" to Item Number 53. , describe the circumstances of your in-person meeting in Item Number 54. Attach evidence to demonstrate that you were in each other's physical presence during the required two year period. |
If you answered "No," explain your reasons for requesting an exemption from the in person meeting requirement in Item Number 54. and provide evidence that you should be exempt from this requirement. Refer to Part 2., Item Numbers 53. - 54. of the Specific Instructions section of the Instructions for additional information about the requirement to meet. If you need extra space to complete this section, use the space provided in Part 8. Additional Information. |
International Marriage Broker (IMB) Information |
55.
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Did you meet your beneficiary through the services of an IMB?
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If you answered "Yes" to Item Number 55., provide the IMB's
contact information and Website information below. In
addition, attach a copy of the signed, written consent form the
IMB obtained from your beneficiary authorizing your
beneficiary's personal contact information to be released to you. |
57.a.
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Family Name of IMB (Last Name)
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57.b
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Given Name of IMB (First Name)
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58.
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Organization Name of IMB
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61.
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Daytime Telephone Number
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Consular Processing Information |
Your beneficiary will apply for a visa abroad at the U.S. Embassy or U.S. Consulate at: |
Part 3. Other Information |
NOTE: These criminal information questions must be answered even if your records were sealed, cleared, or if anyone, including a judge, law enforcement officer, or attorney, told you that you no longer have a record. If you need extra space to complete this section, use the space provided in Part 8. Additional Information. |
1.
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Have you EVER been subject to a temporary or permanent protection or restraining order (either civil or criminal)?
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Have you EVER been arrested or convicted of any of the following crimes: |
2.a.
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Domestic violence, sexual assault, child abuse, child
neglect, dating violence, elder abuse, stalking or an
attempt to commit any of these crimes? (See Part 3.
Other Information, Item Numbers 1. - 3.c. of the
Instructions for the full definition of the term "domestic
violence.")
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Part 3. Other Information (continued) |
2.b.
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Homicide, murder, manslaughter, rape, abusive sexual contact, sexual exploitation, incest, torture, trafficking, peonage, holding hostage, involuntary servitude, slave trade, kidnapping, abduction, unlawful criminal restraint, false imprisonment, or an attempt to commit any of these
crimes?
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2.c.
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Three or more arrests or convictions, not from a single act, for crimes relating to a controlled substance or alcohol?
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NOTE: If you were ever arrested or convicted of any of the specified crimes, you must submit certified copies of all court and police records showing the charges and disposition for every arrest or conviction. You must do so even if your records
were sealed, expunged, or otherwise cleared, and regardless of whether anyone, including a judge, law enforcement officer, or attorney, informed you that you no longer have a criminal
record. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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If you have provided information about a conviction for a crime
listed in Item Numbers 2.a. - 2.c. and you were being battered or subjected to extreme cruelty at the time of your conviction, select all of the following that apply to you:
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4.a.
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Have you ever been arrested, cited, charged, indicted, convicted, fined, or imprisoned for breaking or violating any law or ordinance in any country, excluding traffic violations (unless a traffic violation was alcohol- or drug-related or involved a fine of $500 or more)?
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4.b.
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If the answer to Item Number 4.a. is "Yes," provide information about each of those arrests, citations, charges, indictments, convictions, fines, or imprisonments in the space below. If you were the subject of an order of protection or restraining order and believe you are the victim, please explain those circumstances and provide any evidence to support your claims. Include the dates and outcomes. If you need extra space to complete this section, use the space provided in Part 8. Additional Information
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Multiple Filer Waiver Request Information |
Refer to Part 3. Types of Waivers in the Specific Instructions section of the Instructions for an explanation of the filing waivers. |
Indicate which one of the following waivers you are requesting: |
Part 4. Biographic Information |
1.
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Ethnicity (Select only one box)
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2.
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Race (Select all applicable boxes)
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5.
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Eye Color (Select only one box)
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6.
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Hair Color (Select only one box)
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Part 5. Petitioner's Statement, Contact Information, Declaration, Certification, and Signature |
NOTE: Read the Penalties section of the Form I-129F Instructions before completing this part |
NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2. |
Petitioner's Contact Information
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3.
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Petitioner's Daytime Telephone Number
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4.
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Petitioner's Mobile Telephone Number (if any)
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5.
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Petitioner's Email Address (if any)
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Petitioner's Declaration and Certification
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Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek.
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I furthermore authorize release of information contained in this petition, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.
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I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
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1).
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I reviewed and understood all of the information contained in, and submitted with, my petition; and |
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2).
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All of this information was complete, true, and correct at the time of filing |
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I certify, under penalty of perjury, that all of the information in my petition and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with my petition, and that all of this information is complete, true, and correct.
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NOTE TO ALL PETITIONERS: If you do not completely fill out this petition or fail to submit required documents listed in the Instructions, USCIS may deny your petition.
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Part 6. Interpreter's Contact Information, Certification, and Signature |
Provide the following information about the interpreter.
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1.a
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Interpreter's Family Name (Last Name)
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1.b
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Interpreter's Given Name (First Name)
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2.
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Interpreter's Business or Organization Name (if any)
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Interpreter's Mailing Address
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Part 6. Interpreter's Contact Information, Certification, and Signature (continued) |
Interpreter's Contact Information |
4.
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Interpreter's Daytime Telephone Number
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5.
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Interpreter's Mobile Telephone Number (if any)
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6.
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Interpreter's Email Address (if any)
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Interpreter's Certification |
I certify, under penalty of perjury, that:. |
which is the same language specified in Part 5., Item Number 1.b., and I have read to this petitioner in the identified language every question and instruction on this petition and his or her answer to every question. The petitioner informed me that he or she understands every instruction, question, and answer on the petition, including the Petitioner's Declaration and Certification, and has verified the accuracy of every answer. |
7.a.
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Interpreter's Signature
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Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Petition, if Other Than the Petitioner |
Provide the following information about the preparer. |
1.a.
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Preparer's Family Name (Last Name)
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1.b.
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Preparer's Given Name (First Name)
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2.
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Preparer's Business or Organization Name (if any)
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Preparer's Mailing Address |
Preparer's Contact Information |
4.
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Preparer's Daytime Telephone Number
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5.
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Preparer's Mobile Telephone Number (if any)
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6.
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Preparer's Email Address (if any)
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NOTE: If you are an attorney or accredited representative, you may need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States, with this petition.
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Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Petition, if Other Than the Petitioner
(continued)
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By my signature, I certify, under penalty of perjury, that I
prepared this petition at the request of the petitioner. The
petitioner then reviewed this completed petition and informed
me that he or she understands all of the information contained
in, and submitted with, his or her petition, including the
Petitioner's Declaration and Certification, and that all of this
information is complete, true, and correct. I completed this
petition based only on information that the petitioner provided
to me or authorized me to obtain or use.
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8.a.
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Preparer's Signature
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Part 8. Additional Information |
If you need extra space to provide any additional information
within this application, use the space below. If you need more
space than what is provided, you may make copies of this page
to complete and file with this petition or attach a separate sheet
of paper. Type or print your name and A-Number (if any) at the
top of each sheet; indicate the Page Number, Part Number,
and Item Number to which your answer refers; and sign and
date each sheet.
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3.a.
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Page Number
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3.b.
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Part Number
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3.c.
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Item Number
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4.a.
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Page Number
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4.b.
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Part Number
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4.c.
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Item Number
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5.a.
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Page Number
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5.b.
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Part Number
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5.c.
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Item Number
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6.a.
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Page Number
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6.b.
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Part Number
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6.c.
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Item Number
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7.a.
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Page Number
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7.b.
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Part Number
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7.c.
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Item Number
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Form I-129F Edition 04/01/24 |
Page 13 of 13 |
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