USCIS
OMB No. 1615-0003; Expires 02/29/2012 Department of Homeland Security U.S. Citizenship and Immigration Services I-539, Application to Extend/ Change Nonimmigrant Status For USCIS Use Only Returned START HERE - Please type or print in blue or black ink Part 1. Information About You Given Name (First Name) Middle Name Receipt Family Name (Last Name) Address In care of Street Number and Name City Country of Birth Date of Birth (mm/dd/yyyy) Date Resubmitted Apt. Number Date State Zip Code Daytime Phone Number Reloc Sent Country of Citizenship U MoreNumber of people included in this application: (Check one). I am the only applicant. Members of my family are filing this application with me. Less
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