USCIS Form I-192 "Application for Advance Permission to Enter as a Nonimmigrant"

USCIS Form I-192 is a U.S. Department of Homeland Security - Citizenship and Immigration Services form also known as the "Application For Advance Permission To Enter As A Nonimmigrant". The latest edition of the form was released in April 9, 2019 and is available for digital filing.

Download an up-to-date USCIS Form I-192 in PDF-format down below or look it up on the U.S. Department of Homeland Security - Citizenship and Immigration Services Forms website.

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Download USCIS Form I-192 "Application for Advance Permission to Enter as a Nonimmigrant"

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Application for Advance Permission to Enter
as a Nonimmigrant
USCIS
Form I-192
Department of Homeland Security
OMB No. 1615-0017
U.S. Citizenship and Immigration Services
Expires 04/30/2021
For DHS Use Only
Received
Returned Trans. Out
Fee Stamp
Trans. In
Completed
Action by the Department of Homeland Security
Ground of Inadmissibility
Action Stamp
INA 212(a)(1)
INA 212(a)(9)
INA 212(a)(2)
INA 212(a)(10)
INA 212(a)(3)
Other:
Granted, subject to revocation at any time,
Benefits Category:
INA 212(a)(4)
upon the following terms and conditions
Nonimmigrant other than T or U nonimmigrant/Advance Permission
under INA 212(d)(3)(A) and 8 CFR 212.4
INA 212(a)(6)
T Nonimmigrant/Advance Permission under INA 212(d)(3) and
8 CFR 212.16
INA 212(a)(8)
T Nonimmigrant/Waiver under INA 212(d)(13) and 8 CFR 212.16
INA 212(a)(9)
U Nonimmigrant/Waiver under INA 212(d)(14) and 8 CFR 212.17
U Nonimmigrant/Advance Permission under INA 212(d)(3)(A) and
8 CFR 212.17
Date of Action (mm/dd/yyyy)
DD or OIC
Office
To be completed by an attorney or accredited representative (if any).
Select this box if
Volag Number
Attorney State Bar Number
Attorney or Accredited Representative
Form G-28 or
USCIS Online Account Number (if any)
(if any)
(if applicable)
Form G-28I is
attached.
START HERE - Type or print in black ink.
Part 1. Application Type
Part 2. Information About You
I am applying to the Secretary of Homeland Security for
Your Full Name
permission to enter the United States temporarily under the
provisions of the Immigration and Nationality Act (INA)
1.a.
Family Name
section 212(d)(3)(A)(ii), section 212(d)(13), or section
(Last Name)
212(d)(14).
1.b.
Given Name
(First Name)
I am seeking this permission so that I may obtain (select only
one box):
1.c.
Middle Name
1.
Admission as a nonimmigrant (other than as a T or U
nonimmigrant).
2.
Status as a victim of trafficking (T nonimmigrant
status) or a victim of a crime (U nonimmigrant
status).
Form I-192 04/09/19
Page 1 of 11
Application for Advance Permission to Enter
as a Nonimmigrant
USCIS
Form I-192
Department of Homeland Security
OMB No. 1615-0017
U.S. Citizenship and Immigration Services
Expires 04/30/2021
For DHS Use Only
Received
Returned Trans. Out
Fee Stamp
Trans. In
Completed
Action by the Department of Homeland Security
Ground of Inadmissibility
Action Stamp
INA 212(a)(1)
INA 212(a)(9)
INA 212(a)(2)
INA 212(a)(10)
INA 212(a)(3)
Other:
Granted, subject to revocation at any time,
Benefits Category:
INA 212(a)(4)
upon the following terms and conditions
Nonimmigrant other than T or U nonimmigrant/Advance Permission
under INA 212(d)(3)(A) and 8 CFR 212.4
INA 212(a)(6)
T Nonimmigrant/Advance Permission under INA 212(d)(3) and
8 CFR 212.16
INA 212(a)(8)
T Nonimmigrant/Waiver under INA 212(d)(13) and 8 CFR 212.16
INA 212(a)(9)
U Nonimmigrant/Waiver under INA 212(d)(14) and 8 CFR 212.17
U Nonimmigrant/Advance Permission under INA 212(d)(3)(A) and
8 CFR 212.17
Date of Action (mm/dd/yyyy)
DD or OIC
Office
To be completed by an attorney or accredited representative (if any).
Select this box if
Volag Number
Attorney State Bar Number
Attorney or Accredited Representative
Form G-28 or
USCIS Online Account Number (if any)
(if any)
(if applicable)
Form G-28I is
attached.
START HERE - Type or print in black ink.
Part 1. Application Type
Part 2. Information About You
I am applying to the Secretary of Homeland Security for
Your Full Name
permission to enter the United States temporarily under the
provisions of the Immigration and Nationality Act (INA)
1.a.
Family Name
section 212(d)(3)(A)(ii), section 212(d)(13), or section
(Last Name)
212(d)(14).
1.b.
Given Name
(First Name)
I am seeking this permission so that I may obtain (select only
one box):
1.c.
Middle Name
1.
Admission as a nonimmigrant (other than as a T or U
nonimmigrant).
2.
Status as a victim of trafficking (T nonimmigrant
status) or a victim of a crime (U nonimmigrant
status).
Form I-192 04/09/19
Page 1 of 11
Part 2. Information About You (continued)
Mailing Address
(USPS ZIP Code Lookup)
10.a.
In Care Of Name (if any)
Other Names Used (if any)
Provide all other names you have ever used, including aliases,
10.b.
Street Number
maiden name, and nicknames. If you need extra space to
and Name
complete this section, use the space provided in Part 8.
10.c.
Apt.
Ste.
Flr.
Additional Information.
2.a.
Family Name
10.d.
City or Town
(Last Name)
2.b.
Given Name
10.e.
State
10.f.
ZIP Code
(First Name)
2.c.
10.g.
Middle Name
Province
10.h.
Postal Code
3.a. Family Name
(Last Name)
10.i.
Country
3.b. Given Name
(First Name)
3.c. Middle Name
Safe Mailing Address
Other Information
If you are a T or U visa applicant, and do not want U.S.
Citizenship and Immigration Services (USCIS) to send notices
4.
Alien Registration Number (A-Number) (if any)
about this application to your home, you may provide a safe
A-
mailing address.
5.
USCIS Online Account Number (if any)
11.a. In Care Of Name (if any)
11.b.
Organization Name (if applicable)
6.
Date of Birth (mm/dd/yyyy)
7.
Gender
Male
Female
11.c.
Street Number
and Name
Place of Birth
11.d.
Apt.
Ste.
Flr.
8.a.
City or Town
11.e.
City or Town
8.b.
State or Province
11.f.
State
11.g.
ZIP Code
11.h.
Province
8.c.
Country
11.i.
Postal Code
9.
Country of Citizenship or Nationality
11.j.
Country
Form I-192 04/09/19
Page 2 of 11
Physical Address 3
Part 2. Information About You (continued)
16.a.
Street Number
and Name
Address History
16.b.
Apt.
Ste.
Flr.
Provide physical addresses for everywhere you have lived
during the last five years, whether inside or outside the United
16.c.
City or Town
States. Provide your current address first. If you need extra
space to complete this section, use the space provided in Part 8.
16.d.
State
16.e.
ZIP Code
Additional Information.
16.f.
Province
Physical Address 1 (current address)
12.a.
Street Number
16.g.
Postal Code
and Name
16.h.
Country
12.b.
Apt.
Ste.
Flr.
12.c.
City or Town
Dates of Residence
12.d.
State
12.e.
ZIP Code
17.a.
From (mm/dd/yyyy)
12.f.
Province
17.b. To (mm/dd/yyyy)
12.g.
Postal Code
Physical Address 4
12.h.
Country
18.a.
Street Number
and Name
18.b.
Apt.
Ste.
Flr.
Dates of Residence
13.a.
From (mm/dd/yyyy)
18.c.
City or Town
13.b. To (mm/dd/yyyy)
18.d.
18.e.
State
ZIP Code
18.f.
Province
Physical Address 2
14.a.
Street Number
18.g.
Postal Code
and Name
18.h.
Country
14.b.
Apt.
Ste.
Flr.
14.c.
City or Town
Dates of Residence
14.d.
14.e.
State
ZIP Code
19.a.
From (mm/dd/yyyy)
14.f.
Province
19.b. To (mm/dd/yyyy)
14.g.
Postal Code
14.h.
Country
Dates of Residence
15.a.
From (mm/dd/yyyy)
15.b. To (mm/dd/yyyy)
Form I-192 04/09/19
Page 3 of 11
28.
Date Application Filed (mm/dd/yyyy)
Part 2. Information About You (continued)
Travel Information
Location where you filed your application (for example, USCIS
Office or Port-of-Entry).
NOTE: If you are applying for T or U nonimmigrant status and
29.a.
USCIS Office or U.S. Port-of-Entry
are in the United States, you may skip Item Numbers 20. - 25.
Location at Which you Plan to Enter the United States (desired
Port-of-Entry)
29.b.
City or Town
20.a.
City
29.c.
State or Province
20.b.
State
21.
Name of Port-of-Entry
29.d.
Country
22.
How do you plan to travel to the United States?
(For example, by plane, ship, car)
29.e.
Receipt Number (if available)
23.
When do you plan to enter the United States? (mm/dd/yyyy)
30.
Have you EVER been in the United States for a period of
six months or more?
Yes
No
24.
Approximate Length of Stay in the United States
If you answered "Yes" to Item Number 30., provide the
dates you were in the United States (from and to) and
your immigration status at the time of entry into the
25.
What is the purpose of your stay in the United States?
United States in the space provided in Part 8. Additional
Explain fully below.
Information.
31.
Have you EVER filed an application or petition for
immigration benefits with the U.S. Government, or has
one ever been filed on your behalf?
Yes
No
If you answered "Yes" to Item Number 31., provide the
information requested in Item Numbers 32.a. - 32.c.
If you (or somebody else on your behalf) have filed multiple
applications or petitions for immigration benefits with the U.S.
Government, use the space provided in Part 8. Additional
Immigration and Criminal History
Information to provide the answers to Item Numbers
32.a. - 32.c. for each of your additional applications or petitions.
26.
Do you believe that you may be inadmissible to the
United States?
32.a.
Type of Application or Petition Filed
Yes
No
If you answered "Yes" to Item Number 26., explain the
reasons why you believe, according to the best of your
32.b.
Location Where You (or the Other Person) Filed the
knowledge, that you may be inadmissible in Part 8.
Application or Petition (for example, USCIS office or
Additional Information. If you were told that you are
Port-of-Entry);
inadmissible, provide the reason you were given.
27.
Have you previously filed an application for advance
32.c.
Outcome of the Application or Petition (for example,
permission to enter the United States as a nonimmigrant?
approved, denied, or is pending).
Yes
No
If you answered "Yes" to Item Number 27., provide the
details in Item Numbers 28. - 29.e. If you need extra
space to complete this section, use the space provided in
Part 8. Additional Information.
Form I-192 04/09/19
Page 4 of 11
Part 2. Information About You (continued)
Part 4. Other Information About You
33.
Have you EVER been denied or refused an immigration
Employment History
benefit by the U.S. Government, or had a benefit revoked
or terminated (including but not limited to visas)?
Provide your employment history for the last five years,
Yes
No
whether inside or outside the United States. Provide the most
recent employment first. If you need extra space to complete
If you answered "Yes" to Item Number 33., provide an
this section, use the space provided in Part 8. Additional
explanation the information in the space provided in
Information.
Part 8. Additional Information.
Employer 1 (current or most recent)
34.
Have you EVER, in or outside the United States, been
arrested, cited, charged, indicted, fined, convicted, or
1.
Name of Employer or Company
imprisoned for breaking or violating any law or
ordinance, excluding minor traffic violations?
Address of Employer or Company
Yes
No
2.a.
Street Number
If you answered "Yes" to Item Number 34., describe the
and Name
incidents in detail and include all offenses where impaired
2.b.
Apt.
Ste.
Flr.
driving may have been an issue in the space provided in
Part 8. Additional Information.
2.c.
City or Town
Part 3. Biographic Information
2.d.
State
2.e.
ZIP Code
1.
Ethnicity (Select only one box)
2.f.
Province
Hispanic or Latino
2.g.
Postal Code
Not Hispanic or Latino
2.h.
Country
2.
Race (Select all applicable boxes)
American Indian or Alaska Native
3.
Your Occupation
Asian
Black or African American
Dates of Employment
Native Hawaiian or Other Pacific Islander
4.a.
From (mm/dd/yyyy)
White
3.
Height
Feet
Inches
4.b.
To (mm/dd/yyyy)
4.
Weight
Pounds
5.
Eye Color (Select only one box)
Black
Blue
Brown
Gray
Green
Hazel
Maroon
Pink
Unknown/Other
6.
Hair Color (Select only one box)
Bald (No hair)
Black
Blond
Brown
Gray
Red
Sandy
White
Unknown/Other
Form I-192 04/09/19
Page 5 of 11
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