EFTA01598082.pdf

!lurid for Record ofSworn Statement in I .s, Dtpatimnii or Ilonitlind srcurel. Proceedings under Section 235(bX1) of the Act SIObla !Monti 1692463 Q why did you tense your boom country of country of Int is A I came to visit friends. ✓ No you lone an) four or COnCerll utmul being returned to soar Irma 4ouutt) or being removed Ilion, the (Mouth States- A No. () Would you be harmed if you arc returned to your home come,er rtorotry of last residence? A No. Q lb you have any question or is there any thing else you would Maw es add? A No. I have read (or have hail read to me) this statement, commas at 1 pages (including this page) I rote ilini my @nesters are line and COrlreel in the beg of my \sit icdito and that this statement k a lull. true and correct record or my interrogation on the date iodated by the above nomad officer or the Department of l homeland Security. I have initialed each es Jthry statement (and the corrections noted on page(s). I Signature: Sworn and subscribed to belbre Inc at JIM on Njur 13 i __3013 NIZAM YOUSCIF CBP OFFICER j \e•A l tn.1- Swims, 41•••••••ms tan. Witnessed b) - CBP0 JUAN G. HERNANDEZ Pon1 or 1. 116711 i011/01/77, EFTA01598082