The public reporting burden for Form I-590 is estimated at 3 hours for gathering information 20 minutes. Registration - A separate Form I-590 is required for each registrant. Form I-590 on behalf of a child under 14 years of age may be submitted by the parent or guardian. USCIS Privacy Act Statement AUTHORITIES The information requested on this form and the associated evidence is collected pursuant to 8 U.S.C. 1. a. Page Number 1. b. Part Number 1. c. Item Number 1. d. 2. d. 3. d. 4. d. Instructions How To Fill Out Form I-590 Type or print legibly in black ink. Submission of Form - The RSC with jurisdiction in the registrant s region shall assist the registrant in the completion and submission of Form I-590 Registration for Classification as Refugee. Registration for Classification as Refugee USCIS Form I-590 Department of Homeland Security U.S. Citizenship and Immigration Services OMB No. 1615-0068 Expires 12/31/2019 For DHS Use Only Port of Entry Alien Registration Number A-Number Action Block Photograph AResettlement Support Center RSC Case Number U.S. Social Security Number if any RE- Part 1. Provide your complete name and date of birth as shown on each document listed. Middle Name if applicable Your Name As Shown Date of Birth on Document Document Number Date of Issuance Place of Issuance on Document Type mm/dd/yyyy Form I-590 03/29/18 Issuing Authority Page 1 of 16 Family Name RSC Case A- Provide the following information about your parents. Information About You Given Name First Name Family Name Last Name Other Names Used if any include maiden name names by previous marriages and all aliases. Date of Birth mm/dd/yyyy Gender Place of Birth Country City/Town/Village Present Citizenship or Nationality Ethnicity and/or Tribal Group Religion if any Language native Other Languages that You Speak Identity documents e*g* passport national identification card and/or UNHCR identification card. Include living deceased biological step and adoptive parents. Use continuation page if necessary. Parent 1 Relationship to You Country of Birth Street Number Name City Province Postal Code and Country Present Location* If deceased write deceased* Provide information about your residences during the past five years. List your present address first. Province or State Country From Month/Year To school military academies secondary or primary schools. Use continuation page if necessary. Name of School City Location of School Type of School or Course of Study Title of Degree Name of Employer Address of Employer Occupation Part 4. Military Service Provide in chronological order information about ALL your military service and/or military-type training. If none check here and proceed to the section entitled Relative In The United States. Military Service Organization that Trained You Specialty ex. Duty Location Artillery Infantry Highest Rank Intelligence etc* Unit Dates of Service Part 5. Relative In The United States I have the following close relative in the United States.
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