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Application for Asylum and for |
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Withholding of Removal |
USCIS |
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Department of Homeland Security |
Form I-589 |
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OMB No. 1615-0067 |
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U.S. Citizenship and Immigration Services |
Expires 09/30/2027 |
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START HERE - Type or print in black ink. See the instructions for information about eligibility and how to complete and file this application.
NOTE: |
Check this box if you also want to apply for withholding of removal under the Convention Against Torture. |
Part A.I. Information About You
1. |
Alien Registration Number(s) (A-Number) (if any) |
2. U.S. Social Security Number (if any) 3. USCIS Online Account Number (if any) |
4. |
Complete Last Name |
5. First Name |
6. Middle Name |
7.What other names have you used (include maiden name and aliases)?
8.Residence in the U.S. (where you physically reside)
Street Number and Name |
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Apt. Number |
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City |
State |
Zip Code |
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Telephone Number |
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(NOTE: You must be residing in the United States to submit this form.) |
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9. Mailing Address in the U.S. (if different than the address in Item Number 8) |
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In Care Of (if applicable): |
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Telephone Number |
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Street Number and Name |
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Apt. Number |
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10. |
Sex |
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Female |
11. |
Marital Status: |
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Single |
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Married |
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Divorced |
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Widowed |
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12. |
Date of Birth (mm/dd/yyyy) |
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13. |
City and Country of Birth |
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14. |
Present Nationality (Citizenship) |
15. |
Nationality at Birth |
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16. |
Race, Ethnic, or Tribal Group |
17. |
Religion |
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18. |
Check the box, a through c, that applies: |
a. |
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I have never been in Immigration Court proceedings. |
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b. |
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I am now in Immigration Court proceedings. |
c. |
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I am not now in Immigration Court proceedings, but I have been in the past. |
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19.Complete 19 a through c.
a. When did you last leave your country? (mm/dd/yyyy)b. What is your current I-94 Number, if any?
c. List each entry into the U.S. beginning with your most recent entry. List date (mm/dd/yyyy), place, and your status for each entry. |
(Attach additional sheets as needed.) |
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Date |
Place |
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Status |
Date Status Expires |
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Date |
Place |
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Status |
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Date |
Place |
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Status |
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20. What country issued your last passport or travel |
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Passport Number |
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22. Expiration Date |
document? |
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(mm/dd/yyyy) |
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Travel Document Number |
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23.What is your native language (include dialect, if applicable)? 24. Are you fluent in English? 25. What other languages do you speak fluently?
Yes No
Form I-589 Edition 01/20/25 |
Page 1 of 12 |
Part A.II. Information About Your Spouse and Children
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For EOIR use only. |
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For |
Action: |
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Decision: |
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USCIS |
Interview Date: |
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Approval Date: |
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use only. Asylum Officer ID No.: |
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Denial Date: |
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Referral Date: |
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Your spouse |
I am not married. (Skip to Your Children below.) |
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1. |
Alien Registration Number (A-Number) |
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2. |
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Passport/ID Card Number |
3. |
Date of Birth (mm/dd/yyyy) |
4. U.S. Social Security Number |
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(if any) |
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(if any) |
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(if any) |
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5. |
Complete Last Name |
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6. |
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First Name |
7. |
Middle Name |
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8. Other names used (include |
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maiden name and aliases) |
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9. |
Date of Marriage (mm/dd/yyyy) |
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10. |
Place of Marriage |
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11. City and Country of Birth |
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12. Nationality (Citizenship) |
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13. Race, Ethnic, or Tribal Group |
14. Sex |
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Male |
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Female |
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15.Is this person in the U.S.?
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Yes (Complete Blocks 16 to 24.) |
No (Specify location): |
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16. |
Place of last entry into the |
17. |
Date of last entry into the |
18. I-94 Number (if any) |
19. Status when last admitted |
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U.S. |
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U.S. |
(mm/dd/yyyy) |
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(Visa type, if any) |
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20. |
What is your spouse's |
21. |
What is the expiration date of his/her |
22. Is your spouse in Immigration |
23. If previously in the U.S., date of |
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current status? |
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authorized stay, if any? (mm/dd/yyyy) |
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Court proceedings? |
previous arrival (mm/dd/yyyy) |
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Yes |
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No |
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24.If in the U.S., is your spouse to be included in this application? (Check the appropriate box.) Yes
No
Your Children. List all of your children, regardless of age, location, or marital status.
I do not have any children. (Skip to Part A.III., Information about your background.)
I have children. Total number of children:.
(NOTE: Use Form I-589 Supplement A or attach additional sheets of paper and documentation if you have more than four children.)
1. Alien Registration Number (A-Number) |
2. |
Passport/ID Card Number |
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3. Marital Status (Married, Single, |
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U.S. Social Security Number |
(if any) |
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(if any) |
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Divorced, Widowed) |
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(if any) |
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5. Complete Last Name |
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6. |
First Name |
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7. Middle Name |
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8. |
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Date of Birth (mm/dd/yyyy) |
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9. City and Country of Birth |
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10. Nationality (Citizenship) |
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11. Race, Ethnic, or Tribal Group |
12. Sex |
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Male |
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Female |
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13. Is this child in the U.S. ? |
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Yes (Complete Blocks 14 to 21.) |
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No (Specify location): |
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14. Place of last entry into the U.S. |
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15. Date of last entry into the |
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16. I-94 Number (If any) |
17. Status when last admitted |
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U.S. (mm/dd/yyyy) |
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(Visa type, if any) |
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18. What is your child's current status? |
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19. What is the expiration |
date of his/her |
20. Is your child in |
Immigration Court proceedings? |
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authorized stay, if any? (mm/dd/yyyy) |
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Yes |
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No |
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21. If in the U.S., is this child to be included in this application? (Check the appropriate box.) |
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Yes |
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No |
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Form I-589 Edition 01/20/25 |
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Page 2 of 12 |