Immigrant Petition by Regional Center Investor

• Legal Form Number: I-526E
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-526E Edition 06/01/22 Page 1 of 16

For

USCIS

Use

Only

Immigrant Petition by Regional Center Investor

Department of Homeland Security

U.S. Citizenship and Immigration Services USCIS

Form I-526E

START HERE - Type or print in black ink.►

Part 1. Petition Type

Select one box:

Fee Receipt Action BlockClassification

Resubmitted

Received

Priority Date

Relocated Sent

Received

Remarks

Select this box if Form G-28 is

attached to represent the

petitioner.

Attorney or Accredited Representative

USCIS Online Account Number (if any)

To be completed by an attorney or

BIA-accredited representative (if any).

1. This petition is an initial petition

Notice Date of Termination:

NoYesHave you associated with an NCE in good standing?

Have you invested additional investment capital to the extent necessary to satisfy remaining job

creation requirements under INA 203(b)(5)(A)(ii)? Yes No

Notice Date of Debarment:

This petition is being filed to amend a previously filed petition

2.

Previous Petition Receipt Number

►

Termination of Regional Center3.

NCE or JCE Debarment

4.

NoYesHave you made a qualifying investment in another NCE?

Has your NCE associated with an approved regional center? Yes No

Reasons for Amendment (Select All that Apply)

Part 2. Information About You

Alien Registration Number (A-Number) (if any)1. USCIS Online Account Number (if any)2.

►

A-

Provide the following information about yourself.

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U.S. Social Security Number (if any)3.

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Form I-526E Edition 06/01/22 Page 2 of 16

Part 2. Information About You (continued)

Your Full Name

4. Family Name (Last Name) Given Name (First Name) Middle Name

Other Names Used

Place of Birth

List all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this

section, use the space provided in Part 12. Additional Information.

5.

Middle NameGiven Name (First Name) Family Name (Last Name) 6.

Family Name (Last Name) Given Name (First Name) Middle Name

8. Gender

Male Female

Date of Birth (mm/dd/yyyy)

7.

City or Town of Birth State or Province of Birth9.

Country of Birth

Country(ies) of Citizenship or Nationality (current and relinquished)

10.

11.

12.

NOTE: If you are a citizen of more than one country or your nationality differs from your citizenship, provide the information in

Part 12. Additional Information.

Country of Last Foreign Residence13.

Street Number and Name

Mailing Address

14.

In Care Of Name (if any)

(USPS ZIP Code Lookup)

ZIP CodeStateCity or Town

Flr.Ste.Apt. Number

Province Postal Code Country

If you answered "No" to Item Number 15., provide your physical address in Item Numbers 16.

15. Is your current mailing address the same as your physical address? Yes No