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Get USCIS I-601A 2013

Received To Be Completed by an Attorney or BIA-Accredited Representative, if any. USCIS Form I-601A OMB No. 1615-0123 Expires 03/31/2015 Action Block Sent Check box if G-28 is attached to represent the applicant. Attorney State License Number: ► START HERE - Type or print in black ink. Part 1. Information About Applicant 5.a. Family Name (Last Name) Provide the following information about yourself. 5.b. Given Name (First Name) 1. Alien Registration Number (A-Number) (if applicable).

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