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Record of Sworn Statement in Proceedings
I ..S. Ile pa rt mem 41law's/id Stunt) under Section 235(h)(I) of the Act
SIGMA
office: NEW YORK, NY, POE File No:
Event
Statement by: ("BP.
In the case of:
Date of Binh: Gender (circle one): Male Female
Al: J7X Date: Hay 13, 2013
Before: MILAN YOUSUF CBP OFFICER
(Nreae and Mk)
In the ENGLISH language. Interpreter Employed by
I am an officer of the United Stales Department of Homeland Security I am authorized to administer the immigrat ion
laws and to lake swum statements. I want to take your sworn srateseent regarding your application for admission to the
United States. Before I take your statement, I also want to east= your rights, and the purpose and consequences of this
interview.
You do not appear to be admissible or to have the required legal pagen authorizing your admission to the United States.
This may result in your being denied admission and immediately tenoned to your home country without a hearing. If a
decision is made to refuse your admission into the United States you may he immediately removed from this country, and if
so, you may be barred from reentry for a period of S years or loo, a
This may be your only opportunity to present information to me d the Department of Homeland Security to make a
decision. It is very important that you tall me the truth. If you law give misinformation. you may be subject to criminal or
civil penalties, or barred from receiving immigration benefits or relief- now or in the future.
Except as I will explain to you, you are not entitled ton hearing or re. taw
U.S. law provides protection to certain persons who face pence:aloft. harm or torture upon return to their home country.
If you fear or have a concern about being removed from the I 'aged States or about being sent home. you should tell me
so during this interview because you may not have another ctance You will have the opportunity to speak privately
and confidentially to another officer about your (car or concert That officer will determine if you should remain in the
United States and not be removed because of that fear.
Until a decision is reached in your case, you will remain in the cad of the Department of I homeland Security
Any statement you make may be used *Ono you in this or any nonaxment administrative proceeding
Q, What is your native language?
A. I speak Russian.
Q. Do you speak and understand any other languages?
A. I also speak English.
Q. It is very important that you understand everything that is being asked. Are
you sure that you can understand me in the in the English language?
A. Yes.
Q. Are you comfortable giving your statement to me here, or do you wish to do so
in a more private area?
A. This is fine.
Q Whal. in ...Rut, n and exact name?
Al
U. Have you ever used or been known by any other names?
...(CONTINUED ON I-831)
Page I of 6 I447A (08/0M17)
EFTA01597910
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EFTA01597910
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document
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1
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