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Get Uscis I-539 2011

or print in blue or black ink Part 1. For USCIS Use Only Information About You Family Name (Last Name) Returned Given Name (First Name) Receipt Middle Name Date Address In care of Street Number and Name City Resubmitted Apt. Number Date State Zip Code Country of Birth Date of Birth Daytime Phone Number Country of Citizenship U. S. Social Security # (if any) A-Number (if any) Reloc Sent Date (mm/dd/yyyy) Date of Last Arrival Into the U.S. Current Nonimmigrant Status I-94 Nu.

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