| Returned | Receipt
RECEIVED INFORMATION
OCT 12 1995
Immigration and Naturalization Service New York, N.Y.
RECEIVED
S2 FLOOR CASHIER
OCT 12 1995
Immigration and Naturalization Service New York, N.Y. |
| Resubmitted |
| Reloc Sent |
| Reloc Rec'd |
| Applicant Interviewed |
| Section of Law
☐ Sec. 209(b), INA
☐ Sec. 13, Act of 9/11/57
☐ Sec. 245, INA
☐ Sec. 249, INA
☐ Sec. 1 Act of 11/2/66
☐ Sec. 2 Act of 11/2/66
☐ Other |
| Country Chargeable
France |
| Eligibility Under Sec. 245
☐ Approved Visa Petition
☐ Dependent of Principal Alien
☐ Special Immigrant
☐ Other |
| Preference |
| Action Block
APPROVED
INE DISTRICT DIRECTOR
FEB 0 9 1996
Programmed by
NYC | 0812 |
| To Be Completed by
Attorney or Representative, if any
☐ Fill in box if G-28 is attached to represent the applicant |
| VOLAG# |
| ATTY State License #
SDNY_GM_00000729 |
Form I-485 (09-09-92)N
EFTA_00114813
EFTA01263135
Part 3. Processing Information.
A. City/Town/Village of birth
Maison Laffitte
Your mother's first name
Elizabeth
Your father's first name
Robert
Give your name exactly how it appears on your Arrival /Departure Record (Form I-94)
Maxwell, Ghislaine
Place of last entry into the U.S. (City/State)
New York, New York
Where you inspected by a U.S. Immigration Officer? ☐ Yes □ No
Nonimmigrant Visa Number
1/15/93
Date Visa was issued
(month/day/year)
Sex: ☐ Male ☐ Female
Marital Status: ☐ Married ☐ Single ☐ Divorced ☐ Widowed
Have you ever before applied for permanent resident status in the U.S? ☐ No ☐ Yes (give date and place of filing and final disposition):
B. List your present husband/wife, all of your sons and daughters (if you have none, write "none"). If additional space is needed, use separate paper.
Family Name NONE
Given Name
Middle Initial
Date of Birth (month/day/year)
Country of birth
Relationship
A #
Applying with you? ☐ Yes ☐ No
Family Name
Given Name
Middle Initial
Date of Birth (month/day/year)
Country of birth
Relationship
A #
Applying with you? ☐ Yes ☐ No
Family Name
Given Name
Middle Initial
Date of Birth (month/day/year)
Country of birth
Relationship
A #
Applying with you? ☐ Yes ☐ No
Family Name
Given Name
Middle Initial
Date of Birth (month/day/year)
Country of birth
Relationship
A #
Applying with you? ☐ Yes ☐ No
C. List your present and past membership in or affiliation with every political organization, association, fund, foundation, party, club, society, or similar group in the United States or in any other place since your 16th birthday. Include any foreign military service in this part. If none, write "none". Include the name of organization, location, dates of membership from and to, and the nature of the organization. If additional space is needed, use separate paper.
NONE
Form I-485 (Rev. 09-09-92) N
Continued On Next Page
SDNY_GM_00000730
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EFTA01263136
Please answer the following questions. (If your answer is "Yes" on any one of these questions, explain on a separate piece of paper. Answering "Yes" does not necessarily mean that you are not entitled to register for permanent residence or adjust status).
1. Have you ever, in or outside the U.S.:
a. knowingly committed any crime of moral turpitude or a drug-related offense for which you have not been arrested?
b. been arrested, charged, indicted, fined, or imprisoned for breaking or violating any law or ordinance, excluding traffic violation?
c. been the beneficiary of a pardon, amnesty, rehabilitation decree, other act of clemency or similar action?
d. exercised diplomatic immunity to avoid prosecution for a criminal offense in the U.S.
□ Yes No
2. Have you received public assistance in the U.S. from any source, including the U.S. government or any state, county, city, or municipality (other than emergency medical treatment), or are you likely to receive public assistance in the future?
□ Yes No
3. Have you ever:
a. within the past 10 years been a prostitute or procured anyone for prostitution, or intend to engage in such activities in the future?
b. engaged in any unlawful commercialized vice, including, but not limited to, illegal gambling?
c. knowingly encouraged, induced, assisted, abetted or aided any alien to try to enter the U.S. illegally?
d. illicitly trafficked in any controlled substance, or knowingly assisted, abetted or cofused in the illicit trafficking of any controlled substance?
□ Yes No
4. Have you ever engaged in, conspired to engage in, or do you intend to engage in, or have you ever solicited membership or funds for, or have you through any means ever assured or provided any type of material support to, any person or organization that has ever engaged or conspired to engage, in sabotage, kidnapping, political assassination, hijacking, or any other form of terrorist activity?
□ Yes No
5. Do you intend to engage in the U.S. in:
a. espionage?
b. any activity a purpose of which is opposition to, or the control or overthrow of, the Government of the United States, by force, violence or other unlawful means?
c. any activity to violate or evade any law prohibiting the export from the United States of goods, technology or sensitive information?
□ Yes No
6. Have you ever been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party?
□ Yes No
7. Did you, during the period March 23, 1933 to May 8, 1945, in association with either the Nazi Government of Germany or any organization or government associated or allied with the Nazi Government of Germany, ever inole, assist or otherwise participate in the persecution of any person because of race, religion, national origin or political opinion?
□ Yes No
8. Have you ever engaged in genocide, or otherwise ordered, incited, assisted or otherwise participated in the killing of any person because of race, religion, nationality, ethnic origin, or political opinion?
□ Yes No
9. Have you ever been deported from the U.S. or removed from the U.S. at government expense, excluded within the past year, or are you now in exclusion or deportation proceedings?
□ Yes No
10. Are you under a final order of civil penalty for violating section 274C of the Immigration Act for use of fraudulent documents, or have you, by fraud or willful misrepresentation of a material fact, ever sought to procure, or procured, a visa, other documentation, entry into the U.S., or any other immigration tribunal?
□ Yes No
11. Have you ever left the U.S. to avoid being drafted into the U.S. Armed Forces?
□ Yes No
12. Have you ever been a J nonimmigrant visitor who was subject to the 2 year foreign residence requirement and not yet complied with that requirement or obtained a waiver?
□ Yes No
13. Are you now withholding custody of a U.S. Citizen child outside the U.S. from a person granted custody of the child?
□ Yes No
14. Do you plan to practice polygamy in the U.S.?
Form I-485 (Rev. 09-09-92)N
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EFTA_00114815
EFTA01263137
Part 4. Signature. (Read the information on penalties in the instructions before completing this section. You must file this application while in the United States.)
I certify under penalty of perjury under the laws of the United States of America that this application, and the evidence submitted with it, is all true and correct. I authorize the release of any information from my records which the Immigration and Naturalization Service needs to determine eligibility for the benefit. I am seeking.
Signature
Print Your Name
Ghislaine Maxwell
Date
10/6/95
Daytime Phone Number
Please Note: If you do not completely fill out this form, or fail to submit required documents listed found eligible for the requested document and this application may be denied.
Part 5. Signature of person preparing form if other than above. (Sign Below)