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I-589

Application for Asylum and for Withholding of Removal

Apply for asylum protection in the United States based on persecution or fear of persecution

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Step 1 of 7Preview Mode

Part A.I: Information About You

Your personal identifying information

1. Alien Registration Number (A-Number) (if any)

Format: A-123456789 or 123456789

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

3. Family Name (Last Name)*

4. Given Name (First Name)*

5. Middle Name

6. Other Names Used (include maiden name and aliases)

List all other names you have ever used

7. Date of Birth (mm/dd/yyyy)*

8. City and Country of Birth*

9. Current Nationality (Citizenship)*

10. Race, Ethnic, or Tribal Group*

11. Religion*

12. Sex/Gender*

Male

Female