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Application for Travel Document
USCIS
Form I-131
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0013
Expires 03/31/2016
Action Block
Receipt
To Be Completed by an Attorney/
Representative,
if any.
For
USCIS
Use
Only
Fill in box if G-28 is attached to represent the applicant.
Document Hand Delivered
By:
Date:
/
/
/
Document Issued
Re-entry Permit (Update
"Mail To" Section)
Refugee Travel Document
(Update "Mail To" Section)
Single Advance Parole
Multiple Advance Parole
Valid Until:
/
/
Mail To
(Re-entry &
Refugee
Only)
/
Attorney State
License Number:
Address in Part 1
US Consulate at:
Intl DHS Ofc at:
► Start Here. Type or Print in Black Ink
Part 1. Information About You
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
Other Information
3.
Alien Registration Number (A-Number)
► A-
1.c. Middle Name
4.
2.c. Apt.
Ste.
2.g. Postal Code
Gender
8.
Date of Birth
9.
U.S. Social Security Number (if any)
Flr.
2.d. City or Town
2.e. State
Class of Admission
7.
2.b. Street Number and Name
Country of Citizenship
6.
2.a. In Care of Name
Country of Birth
5.
Physical Address
2.f.
Zip Code
Male
Female
(mm/dd/yyyy) ►
►
2.h. Province
2.i.
Country
Form I-131 03/22/13 N
Page 1 of 5
Part 2. Application Type
1.a.
I am a permanent resident or conditional resident of the United States, and I am applying for a reentry permit. 1.b.
I now hold U.S. refugee or asylee status, and I am applying for a Refugee Travel Document.
1.c.
I am a permanent resident as a direct result of refugee or asylee status, and I am applying for a Refugee
Travel Document.
1.d.
1.e.
1.f.
2.e. Country of Birth
2.f.
Country of Citizenship
2.g. Daytime Phone Number
(
)
-
Physical Address (If you checked box 1.f.)
I am applying
USCIS
Form I-131
Department of Homeland Security
U.S. Citizenship and Immigration Services
OMB No. 1615-0013
Expires 03/31/2016
Action Block
Receipt
To Be Completed by an Attorney/
Representative,
if any.
For
USCIS
Use
Only
Fill in box if G-28 is attached to represent the applicant.
Document Hand Delivered
By:
Date:
/
/
/
Document Issued
Re-entry Permit (Update
"Mail To" Section)
Refugee Travel Document
(Update "Mail To" Section)
Single Advance Parole
Multiple Advance Parole
Valid Until:
/
/
Mail To
(Re-entry &
Refugee
Only)
/
Attorney State
License Number:
Address in Part 1
US Consulate at:
Intl DHS Ofc at:
► Start Here. Type or Print in Black Ink
Part 1. Information About You
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
Other Information
3.
Alien Registration Number (A-Number)
► A-
1.c. Middle Name
4.
2.c. Apt.
Ste.
2.g. Postal Code
Gender
8.
Date of Birth
9.
U.S. Social Security Number (if any)
Flr.
2.d. City or Town
2.e. State
Class of Admission
7.
2.b. Street Number and Name
Country of Citizenship
6.
2.a. In Care of Name
Country of Birth
5.
Physical Address
2.f.
Zip Code
Male
Female
(mm/dd/yyyy) ►
►
2.h. Province
2.i.
Country
Form I-131 03/22/13 N
Page 1 of 5
Part 2. Application Type
1.a.
I am a permanent resident or conditional resident of the United States, and I am applying for a reentry permit. 1.b.
I now hold U.S. refugee or asylee status, and I am applying for a Refugee Travel Document.
1.c.
I am a permanent resident as a direct result of refugee or asylee status, and I am applying for a Refugee
Travel Document.
1.d.
1.e.
1.f.
2.e. Country of Birth
2.f.
Country of Citizenship
2.g. Daytime Phone Number
(
)
-
Physical Address (If you checked box 1.f.)
I am applying