Get CBP 823S 2010
Ge 4). (yyyy/mm) 58. From: (yyyy/mm) 59. Employer's name 60. Street Address Apt. No. To: 62. Colonia/Neighborhood 61. City 63. Country 64. State 65. Postal/Zip Code SECTION D - ADDITIONAL INFORMATION 66. No Yes Have you ever received a waiver of inadmissibility to the U.S. from CBP (former USINS)? No Yes Have you ever been found in violation of customs or immigration laws? No Yes Have you ever been convicted of an offense in any country? What country were you convicted in? If .
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