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Includes sections for specific eligibility categories and instructions on completing required 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Chargeable:  \nPriority Date:  \nDate Form I-693 Received:  \nSection of Law  \n□ Applicant  \n□ Interview  \n□ INA 209(a)   □ INA 249  \nWaived  \nInterviewed  \n□ INA 209(b)  □ Sec.13,Act of 9/11/57  \nDate of  \nInitial Interview:  \n□ INA 245(a)  □ Cuban Adjustment Act  \n□ INA 245(i)   □ Other  \nLawful Permanent  \nResident as of:_  \n□ INA 245(m)  \nTo be completed by an attorney or accredited representative(if any).  \nVolag Number  \nAttorney State Bar Number  \n□ Select this box if  \nAttorney or Accredited Representative  \nForm G-28 is  \nUSCIS Online Account Number(if any)  \n(if any)  \n(if applicable)  \nattached.  \nA-Number ▶A-            \n▶ STARTHERE-Type or print in black ink.  \nNOTE TOALLAPPLICANTS:If you do not completely fill out this application or fail to submit required documents listed in theInstructions,U.S.Citizenship and Immigration Services(USCIS)may deny your application.  \n3.a.Family Name(Last Name)  \nPart 1.Information About You(individualapplying for lawful permanent residence)    Your Current Legal Name(do not provide anickname)  \n3.b.Given Name(First Name)  \n3.c.Middle Name  \n4.a.Family Name(Last Name)  \n1.a.Family Name(Last Name)  \n1.b.Given Name(First Name)  \n4.b.Given Name(First Name)  \n1.c.Middle Name  \n4.c.Middle Name  \nOther Names You Have Used Since Birth(ifapplicable)  \nOther Information About You  \n5.  Date of Birth(mm/dd/yyyy)  \nNOTE:Provide all other names you have ever used,includingyour family name at birth,other legal names,nicknames,aliases,and assumed names.If you need extra space tocomplete this section,use the space provided in Part 14.Additional Information.  \nNOTE:In addition to providing your actual date of birth,include any other dates of birth you have used inconnection with any legal names or non-legal names inthe space provided in Part 14.Additional Information.  \n2.a.Family Name(Last Name)  \nGender  \n2.b.Given Name(First Name)  \n7.  \nCity or Town of Birth  \n2.c.Middle Name  \n\n|  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n\nA-Number ▶ A-  \nRecent Immigration History  \nPart 1.Information About You(Person applyingfor lawful permanent residence)(continued)  \nProvide the information for Item Numbers 15.-19.if you lastentered the United States using a passport or travel document.  \n8.   Country of Birth                 \n15.Passport Number Used at Last Arrival          \n9.Country of Citizenship or Nationality  \n16.  Travel Document Number Used at Last Arrival       \n10.Alien Registration Number(A-Number)(if any)     \n17.Expiration Date of this Passport or Travel Document(mm/dd/yyyy)  \n▶ A-  \nNOTE:If you have EVER used othe A-Numbers,include the additional A-Numbers in the space providedin Part 14.Additional Information.  \n18.Country that Issued this Passport or Travel Document   \n11.USCIS Online Account Number(if any)       \n19.Nonimmigrant Visa Number from this Passport (if any)  \n12.U.S.Social Security Number(if any)        \nPlace of Last Arrival into the United States  \n20.a.City or Town  \nU.S.Mailing Address  \n20.b.State  \n13.a.In Care Of Name (if any)  \n21.Date of Last Arrival(mm/dd/yyyy)  \n13.b.Street Numberand Name  \nWhen I last arrived in the United States,I:  \n22.a.□Was inspected at a port of entry and admitted as(forexample,exchange visitor;visitor,waived through;  \n13.c.□ Apt.□ Ste.□ Flr.  \ntemporary worker;student):  \n13.d.City or Town  \n\n|  |\n| --- |\n\n13.e.State[  \n13.f.ZIP Code(USPS ZIP Code Lookup)  \n22.b.□ Was inspected at a port of entry and paroled as(for  \nexample,humanitarian parole,Cuban parole):  \nAlternate and/or Safe Mailing Address  \n\n|  |\n| --- |\n\nIf you are applying based on the Violence Against Women Act(VAWA)or as a special immigrant juvenile,human traffickingvictim(T nonimmigrant),or victim of qualifying criminalactivit","cbCainqmyEQSpVjh","https://ap.wps.com/l/cbCainqmyEQSpVjh","pdf",1139869,20,"English","# Part 1. Information About You\n## Application Type or Filing Category\n# Recent Immigration History\n## Place of Last Arrival into the United States\n# Employment-based\n## Special Immigrant","[{\"question\":\"What personal information must applicants provide in Part 1?\",\"answer\":\"Applicants must provide their current legal name (family, given, and middle names), any other names used since birth, date of birth, birthplace, gender, and additional identifying details as instructed.\"},{\"question\":\"What immigration history details are requested for recent arrivals?\",\"answer\":\"The form requests passport or travel document numbers, travel document details, A-Number, nonimmigrant visa number (if any), expiration dates, issuing country, and the date and place of last arrival.\"},{\"question\":\"How does the form address different application types or eligibility categories?\",\"answer\":\"It includes sections where applicants select their application type (principal vs. derivative) and, where applicable, identify special immigrant or employment-based pathways by selecting relevant boxes and answering linked questions.\"}]","Application to Register Permanent Residenceor Adjust Status | PDF",1789825885,7]