Transcription of Sample Form I-539, Application to Extend / Change ...
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Sample Form I-539, Application to Extend / Change ...
form I-539 02/04/19 Application to Extend / Change nonimmigrant status Department of Homeland Security Citizenship and Immigration ServicesUSCISForm I-539 OMB No. 1615-0003 Expires 08/31/2020 Part 1. Information About Name (Last Name) Name (First Name) Mailing or Care Of Name (if any) of Last Arrival Into the United States (mm/dd/yyyy) Date of Birth (mm/dd/yyyy)8. Social Security Number (if any) Numberand :New Class DeniedStill within period of stayS/D to:Place under docket controlFrom / //To / //For USCIS Use OnlyAction BlockSentReceivedRelocatedFee StampResubmittedReturnedApplicant interviewed of Citizenship or NationalityCountry of Information About YouPage 1 of 7 USCIS Online Account Number (if any)3. A-Alien Registration Number (A-Number) (if any) Full Numberand NameZIP or Physical AddressForm I-94 Arrival-Departure Record Number11.
Form I-539 02/04/19 Application to Extend/Change Nonimmigrant Status Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-539 OMB No. 1615-0003 Expires08/31/2020 Part 1. Information About You 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name U.S. Mailing Address 4.d. City or Town 4.a.
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