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Appendix A: Selected Forms
Pages 159-202

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From page 159...
... Appendix SELECTED FORMS The forms that appear below include only those that are referred to in this report; they are used to collect a major portion of the available information about migration to the United States. Because of the very large number of forms used in connection with immigration, it was not possible to include a comprehensive array.
From page 160...
... Nonimmigrant Arrival/Departure Form Report of Deportable Alien Application for Status as Permanent Resident Alien Registration Receipt Card Request for Asylum in the United States Registration for Classification as Refugee Assurance by a United States Sponsor in Behalf of an Applicant for Refugee Status Statistical Data for Refugees. Collected by the INS for the Department of Health and Human Services Application to File Petition for Naturalization Application for Certificate of Citizenship Immigrant Visa and Alien Registration Customs workload form Customs Declaration Card Standard Birth Certificate -- 1978 revision Refugee data form -- American Council of Volunteer Agencies Application for a Social Security Number Card ORR Quarterly Performance Reports, Schedules B and C
From page 165...
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From page 169...
... () ~6 Immigration and Naturalization Service BIOGRAPHIC INFORMATION \~)
From page 172...
... Or En o ~o ¢ of ~ o t o rat Cal :~.
From page 174...
... ~1-73) N ALI EN TOTAL United States Department of Justice Immigration and Natural'2ation Service
From page 176...
... 41~79) Y UNITED.STATES DEPARTMENT OF JUSTICE Immigration and Naturatization Serv~ce He igh' Weight R E C O R D O F D E P O R T A B L E A L I E N {See A ~ -2790 31 34 for Instructions)
From page 177...
... appl! for the stat'~s of a la~ful permanent resident alien on the f`'llo~ing basis ((~heck on~ nf the IH)
From page 178...
... sabotage, or (Yi) the doctrines of world communism, or the establishment of a totalitarian dictatorship in the United States; aliens who intend to engage in prejudicial activities or unlawful activities of a subversive nature; aliens who have been convicted of violations `,f ant lam or regulation relating to narcotic drugs or manhuena, or who have been illicit traffickers in narcotic drugs or manhuana; aliens who have been involved in assisting anV oth~r aliens t`, enter the United States ill violation of 1~; aliens who have applied for exemption or discharge from training or service in the Armed Forces of the United States on the ground of alienage and who hare been relieved or discharged from such training or service; medical graduates (other than those for whom Relative petitions hare been approved coming pancipallv to perform services as members of the medical profession, unless they have passed Parts I and II of the National Board of Medical Examiners Examination (or an equivalent examination as determined bv the Xecretarv of the Department of Health and Human Services)
From page 179...
... A 1 first arrived in the United States at (Port) on lawn)
From page 181...
... I All other names used at any time (include maiden name if married) .1 Sex 1 4 Marital status G Male ~= Single o Divorced c, Female c Married ,~ Widowed I was born (Month)
From page 182...
... 182 19 If in the U S is your spouse included in your request for asylum?
From page 183...
... exact location. who took such action against you and what was his/her position in the government reason why the Incident occurred namer and addresses of people who witnessed these actions and who could verify these statements Attach documents referring tot there incidents .
From page 184...
... (Interviewing Officer) ACTION BY ADJUDICATING OFFICER Advisory opinion requested O (Adjudicating Officer)
From page 185...
... My spouse [I All O will not accompany me to the United States Date of birth Place of birth .
From page 186...
... ( ye -r) This form should be executed, signed and submitted to the Officer-in-Charge of the nearest overseas office of the United States Immigration ant Naturalization Service.
From page 187...
... (ZIP Code) The refugee status into the United States of the applicant, his spouse and children, as described below, is herewith sponsored, and transportation from a port of entry in the United Sea tes to final destination in the United States is assured.
From page 188...
... ~ Training in another country I I Use in the U.S. | | Use in another country Grades 1-8 Some high school High school diploma LO Technical school ~ Technical school certificate 4| Some university University diploma Training in refugee camp Other (Please explain)
From page 189...
... (a) Have you been out of the Un ted States since your lawful admission as a permanent resident?
From page 190...
... O Yes O No ( 18) During the period March 23, 1933 to May 8, 1945, did you serve in, or were you in any affiliated with, either directly or indirectly, any military unit, paramilitary unit, police unit, self-defense unit, vigilante unit, citizen unit, unit of the Nazi Parry or SS, government agency or office, extermination camp, concentration camp, prisoner of war camp, prison, labor camp, detention camp or transit camp under the control of or affiliated with: (a)
From page 191...
... ( 31 ) If serving or ever served in the Armed Forces of the United States, give branch O inducted or O enlisted at.................
From page 192...
... (a) lay lot permanent foreign ~idenee are ...
From page 193...
... Her former Alien Registration No. was She lost United States citizenship.
From page 194...
... . since lost United States citizenship.
From page 195...
... _ _ MARIrAl STATUS MOTHER S F1 -- NAM FAT S flRST NAME []
From page 197...
... WELCOME TO THE i.' U N ITED STATES DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE CUSTOMS DECLARATION ins n 0~.
From page 199...
... 199 AMERICAN COUNCIL OF tIOLUNTAR~Y AGENCIES FOR FOREI(;N S ERVICE, 1 ~.c 200 Park Avenue South - New York, N.Y. 10003 Date: File ID ~Present Location: The fit flowing persons: 1.
From page 200...
... ZIP CODE it. Asian, Asian-American or Pacific Islander (Includes persons of Chinese.
From page 201...
... 201 So r - ~ r- c^ ~ ~ _ 2 _ Cal ' ~CO _, ~ Car C: 1 -:11 1 1 1 =11 1 1 `0 11 1 1 ~ 1 ~ 1 ~11 1 11 1 1 11 1 1 1 1 1 ~ 1= 1 ~ As: 1 C1 1 .
From page 202...
... 202 3 C: U: 3 en g Cat ED A A: o A: or ~a)


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