Form I-687 06/20/17 Y Page 8
Been a member of, or in any way affiliated with, the Communist Party or any other totalitarian party?
Yes No
Engaged in, conspired to engage in, or do you intend to engage in, or have you ever solicited
membership or funds for, or have you through any means ever assisted or provided any type of material
support to any person or organization that has ever engaged or conspired to engage in sabotage,
kidnapping, political assassination, hijacking, or any other form of terrorist activity?
Yes No
Engaged in genocide, or otherwise ordered, incited, assisted, or otherwise participated in the killing of
any person because of race, religion, nationality, ethnic origin, or political opinion?
Yes No
Been deported, excluded, or removed from the United States at government expense, or have you ever
been or are you now in exclusion, deportation, removal, or rescission proceedings?
Yes No
Left the United States to avoid being drafted into the United States Armed Forces?
Yes No
Been a J nonimmigrant exchange visitor who was subject to the two-year foreign residence requirement
and have not yet complied with that requirement or obtained a waiver?
Yes No
45. If your native alphabet is in other than Roman letters, write your name in your native alphabet.
46. Language of your native alphabet.
40. Do you intend to engage in the United States in:
A. Espionage?
Yes No
B. Any activity a purpose of which is opposition to, or the control or overthrow of, the government
of the United States, by force, violence, or other unlawful means?
Yes No
C. Any activity to violate or evade any law prohibiting the export from the United States of goods,
technology, or sensitive information?
Yes No
41. Did you, during the period from March 23, 1933 to May 8, 1945, in association with either the Nazi
Government of Germany or any organization or government associated or allied with the Nazi
Government of Germany, ever order, incite, assist, or otherwise participate in the persecution of
any person because of race, religion, national origin, or political opinion?
Yes No
42. Are you under a final order of civil penalty for violating section 274C of the Immigration and
Nationality Act for use of fraudulent documents or have you, by fraud or willful misrepresentation
of a material fact, ever sought to procure, or procured, a visa, other documentation, entry into the
United States, or any immigration benefit?
Yes No
Yes No
Yes No
43. Are you now withholding custody of a United States citizen child outside the United States from a
person granted custody of the child?
44. Do you plan to practice polygamy in the United States?
Illicitly trafficked in any controlled substance, or knowingly assisted, abetted, or colluded in the illicit
trafficking of any controlled substance?
Yes No