Page 4 of 12Form I-601 07/03/19
Part 4. Reasons for Inadmissibility (continued)
I am or I have been a member of or affiliated with the
Communist or any other totalitarian party (or
subdivision or affiliate of the party,) domestic or
foreign.
11.
I have sought to procure an immigration benefit by
fraud or by concealing or misrepresenting a material
fact (immigration fraud or misrepresentation.)
12.
I was previously removed from the United States.
(See instructions for Nicaraguan Adjustment and
Central American Relief Act (NACARA) and Haitian
Refugee Immigration Fairness Act (HRIFA) applicants
only. All other applicants file Form I-212.)
16.
I am subject to the 3-year or the 10-year bar to
admissibility because I was previously unlawfully
present in the United States in excess of either 180
days or one year or more, respectively, and
subsequently departed the United States.
15.
I am subject to a civil penalty because I was the
subject of a final order for violation of the
Immigration and Nationality Act (INA) section 274C.
14.
I have been engaged in alien smuggling.13.
I have been ordered removed or I have been
unlawfully present in the United States for more than
one year, in the aggregate, and I subsequently
reentered or attempted to reenter without being
admitted. (See instructions for NACARA, HRIFA,
and the instructions for approved Violence Against
Women Act (VAWA) self-petitioners only. Other
applicants file Form I-212.)
17.
Other (specify):18.
I am applying for TPS and I believe or I was told that I am
inadmissible because:
20. I have a communicable disease of public health
significance. (A list of communicable diseases of
public health significance can be found in the Specific
Instructions section of Form I-601 Instructions.)
Select all grounds that you believe, according to the best of your
knowledge, or that you were told apply to you.
Section C
21. I have or had a physical or mental disorder and
behavior (or a history of behavior that is likely to
recur) associated with the disorder, which has posed or
may pose a threat to the property, safety, or welfare of
myself or others.
22.
I am or have been a drug abuser or drug addict as
described in U.S. Department of Health and Human
Services (HHS) Regulations. See 42 CFR 34.
24. I am coming to the U.S. to engage in prostitution or,
in the past 10 years, I have engaged in prostitution
(including receiving the proceeds of, in full or in
part,) procurement of prostitution, or I continue to
engage in prostitution or procurement of prostitution.
23.
I have been involved in a controlled substance
violation according to the laws and regulations of any
state, the United States, or a foreign country related
to a single offense of simple possession of 30 grams
or less of marijuana.
I came to the United States or I am coming to the
United States to engage in any other unlawful
commercialized vice, whether or not it is related to
prostitution.
26.
25.
In the past 10 years, I have (either directly or indirectly,)
procured, attempted to procure, or to import prostitutes
or persons for the purpose of prostitution.
I have been involved in serious criminal activity and
have asserted immunity from prosecution.
27.
I have been involved in serious criminal activity and
have asserted immunity from prosecution.
10.
I came to the United States or I am coming to the
United States to engage in any other unlawful
commercialized vice whether or not it is related to
prostitution.
9.
Specify (Review Form I-601 Instructions for a
detailed explanation of the individual grounds of
inadmissibility related to your Form I-601.)
19.
I am applying for adjustment of status based on a valid T
nonimmigrant status or based on classification as a Special
Immigrant Juvenile and I believe or I was told that I am
inadmissible because:
Section B
I did not attend or did not remain at a removal
proceeding to determine my inadmissibility or
deportability.
28.