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Get 1615-0067; Expires 05/31/2019

Entry into the U.S. 17. Date of last entry into the U.S. (mm/dd/yyyy) 20. What is your spouse's current status? 19. Status when last admitted (Visa type, if any) 18. I-94 Number (if any) 21. What is the expiration date of his/her 22. Is your spouse in Immigration 23. If previously in the U.S., date of authorized stay, if any? (mm/dd/yyyy) previous arrival (mm/dd/yyyy) Court proceedings? Yes No 24. If in the U.S., is your spouse to be included in this application? (Check the appropriate box.

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