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His or her family member s is referred to as a derivative applicant. Form I-914 Supplement A is to be completed by the principal applicant. ATTY State License No. Form I-914 Supplement A 07/29/14 Y Page 1 Continued 1. Give the following information about your family member if he or she is currently in the United States. OMB No. 1615-0099 Expires 07/31/2016 I-914 Supplement A Application for Immediate Family Member...
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