Form I-698 04/28/19
Part 3. Eligibility Standards (continued)
A-
Do you intend to engage in the United States in:
Espionage? Yes
No
Any activity to violate or evade any law prohibiting the export from the United States of goods,
technology, or sensitive information?
Yes No
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
A.
B.
C.
Served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that
involved detaining persons?
14.
15. Have you EVER been a member of, or in any way affiliated with, a Communist Party or any other
totalitarian party?
Yes No
Did you EVER, 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, order, incite, assist, or otherwise participate in the persecution of any person because of race,
religion, national origin, or political opinion?
Yes No
Have you EVER been deported from the United States, removed from the United States at government
expense, excluded within the past year, or are you NOW, or have you EVER been in exclusion,
deportation, removal, or rescission proceedings?
Yes No
17.
Have you EVER claimed to be a United States citizen in writing or any other way?
Yes No
16.
Are you NOW under a final order of civil penalty for violating section 274C of the Immigration and
Nationality Act (INA) for use of fraudulent documents or have you EVER, by fraud or willful
misrepresentation of a material fact, sought to procure or procured a visa, other documentation, entry into
the United States, or any immigration benefit?
18.
Yes No
Have you EVER left the United States to avoid being drafted into the U.S. Armed Forces?
22.
Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following:
Yes No
Yes No
Yes No
Yes No
Yes No
Do you plan to practice polygamy in the United States?
Yes No
Are you NOW withholding custody of a U.S. citizen child outside the United States from a person granted
custody of the child?
Yes
No
23.
21.
Acts involving torture or genocide?
Killing any person?
Intentionally and severely injuring any person?
Engaging in any kind of sexual contact or relations with any person who was being forced or
threatened?
Limiting or denying any person's ability to exercise religious beliefs?
A.
B.
C.
D.
E.
19.
Yes No20.
Have you EVER been a J nonimmigrant exchange visitor who was subject to the 2-year foreign residence
requirement and have not yet complied with that requirement or obtained a waiver?
Yes No
Served in, been a member of, assisted in, or participated in any military unit, paramilitary unit, police
unit, self-defense unit, vigilante unit, rebel group, guerrilla group, militia, or insurgent organization?
24.
Have you EVER:
Yes No
Yes NoA.
B.
25.
Have you EVER engaged in, conspired to engage in, do you intend to engage in, or have you EVER
solicited membership or funds for, or have you EVER through any means 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?
NoYes13.
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