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Deportation Form



Name:
Address:
City:

State:

Zip Code:
Phone:
Email:
Nationality:

Age:

Birth Date:
How did you hear about us?
Are you currently in Deportation/Removal proceedings?:
Are you in immigration custody or out of custody?
What court?
Court Date:
Are you a LPR of the U.S.?If yes, date you become a LPR:
Are you married? …….If yes, what is your spouse’s immigration status?
Do you have any children?if yes, how many, and how old are they?
What is your parent’s immigration status?
When did you last enter the U.S.?
Did you enter the U.S legally or illegally?
Has anyone ever filed an immigration petition for you? If yes, When?
Have you been deported before?

Please provide a detailed description of your case below:


Have you ever been convicted of a misdemeanor or a felony?

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