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| Registration
Unlawful Arrests Compensation Group Feedback Form
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Name |
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| Address |
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| Telephone |
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| Fax |
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| E-mail |
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| Country
of Birth |
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| Date
of Birth |
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| Citizenship |
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Date
of registration arrest: |
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Place
of registration arrest |
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| were
you arrested without a warrant? |
Yes
No
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If you answered yes to the previous question continue, if
you were arrested with a warrant, you should not complete this form.
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| If
you were arrested without a warrant, did the INS make a determination
that you know about that you were likely to flee before a warrant
could be obtained? |
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Yes
No
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| For
how many days were you detained? |
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| Were
you strip-searched during your detention? |
Yes
No
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- If yes, how many times? |
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| Briefly
describe any special difficulties you had while detained (1-3 sentences):
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| If
you have any applications/petitions pending before the INS, please
explain what type of application/petition, when it was filed, who
filed it for you, and do you think you will be eligible for a visa:
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| If
you have an attorney, please give his/her name, address and telephone
number: |
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| Upon
receipt of a completed form, you will be sent by mail, fax or email
further information about participating in the registration compensation
group. The information you provide will be treated as confidential.
You may also obtain additional information going to Yahoo.com, groups,
then INS-registration. Sign up and you will be able to access to
INS-Registration web page as soon as your membership application
is approved (usually the same day). |
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