EFTA01128433.pdf

DHS Notice of Entry of Appearance Form G-28 as Attorney or Accredited Representative 010B No. 1615-0105 Expires 02/29/2016 Department of Homeland Security 1Part 1. Information About Attorney or Part 2. Eligibility Information For Attorney or Accredited Representative Accredited Representative Name and Address of Attorney or Accredited Representative Check applicable items(s) below) 1.a. Family Name Beskardes 1. I am an attorney eligible to practice law in, and a (Last Name) member in good standing of, the bar of the highest l.b. Given Name Arda court(s) of the following State(s), possession(s), (First Name) territory(ies), commonwealth(s), or the District of Columbia 1.c. Middle Name 2. Name of Law Firm or Recognized Organization 1.a. ILIIEWYORK,TENNESSEE M Arda Beskardes ESQ 1.b. I (choose one) El am not 0 am subject to any order of any court or administrative 3. Name of Law Student or Law Graduate agency disbarring, suspending, enjoining, restraining, or otherwise restricting me in the practice of law. (If you are subject to any order(s), explain fully in the space below.) 4. State Bar Number N/A I.b.1 5.a. Street Number 417 2. I am an accredited representative of the following qualified nonprofit religious, charitable, social 5.b. Street Bergen Street Name service, or similar organization established in the United States, so recognized by the Department of 5.c. Apt. 0 Ste. 0 FIr. 0 Justice, Board of Immigration Appeals pursuant to 8 CFR 292.2. Provide the name of the organization 5.d. City or Town Brooklyn and the expiration date of accreditation. 5.e. State NY 5.f. Zip Code 11217 2.a. Name of Recognized Organization 5.g. Postal Code 2.b. Date Accreditation expires 5.h. Province (nm/ddoyyy) ► Si. Country 3. 0 I am associated with United States 3.a. 6. Daytime Phone Number l( 7 1 8 7 6 6 9 4 5 4 the attorney or accredited representative of record who previously filed Form G-28 in this case, and my 7. E-Mail Address of Attorney or Accredited Representative appearance as an attorney or accredited representative is at his or her request. If you check this item, also complete number I (I.a. - 1.b.1.) or number 2 (2.a. - 2.b.) in Part 2 (whichever is appropriate). 4. I am a law student or law graduate working under the direct supervision of the attorney or accredited representative of record on this form in accordance with the requirements in 8 CFR 292. l(a)(2)(iv). I I it Foin G-28 0 I S/13 N 1 f Page I f 2 EFTA01128433 Part 3. Notice of Appearance as Attorney or 7. Provide A-Number and/or Receipt Number Accredited Representative This appearance relates to immigration matters before select one): Pursuant to the Privacy Act of 1974 and DHS policy, I hereby consent to the disclosure to the named Attorney or Accredited 1. USCIS - List the form number(s) Representative of any record pertaining to me that appears in I-2908 any system of records of USCIS, ICE, or CBP. 1.a. ta. Signature of Applicant, Petitioner, or Respondent 2. O ICE - List the specific matter in which appearance is entered 8.b. Date (mmidelkyyy) ► 3. ❑ CBP - List the specific matter in which appearance is entered Part 4. Signature of Attorney or Accredited I Representative 3.a. have read and understand the regulations and conditions contained in 8 CFR 103.2 and 292 governing appearances and I hereby enter my appearance as attorney or accredited representation before the Department of Homeland Security. I representative at the request of: declare under penalty of perjury under the laws of the United States that the information I have provided on this form is true 4. Select only one: m Applicant 0 Petitioner and correct. 0 Respondent (ICE, CBP) 1. Signature of Attorney or Accredited Representative Name of Applicant, Petitioner, or Respondent 5.a. Family Name Stepanova 2. Signature of Law Student or Law Graduate (Last Name) 5.b. Given Name Yulia (First Name) 5.c. Middle Name Sergeyevna 3. Date (mmidellypy) 10. L Part 5. Additional Information 5.d. Name of Company or Organization. if applicable 1. NOTE: Provide the mailing address of Petitioner, Applicant,or Respondent and not the address of the attorney or accredited representative, except when a safe mailing address is permitted on an application or petition filed with Form G-28. 6.a. Street Number 301 East 66th Street and Name 6.b. Apt. El Ste. 0 Flr. 0 ION 6.c. City or Town New York 6.d. State NY 6.e. Zip Code 10065 I II Run (-28 02/2S/ . II fll ui II RIL!e 2 ( 2 EFTA01128434