| Updated On | [date-and-time] | Received Date | [Date] |
|---|---|---|---|
| Effective Date of Change | [Date] | Change Reason | [field-value] |
| Approval Requested | [True] | Approval Status | [Approved] |
| Status | [Active] | Updated By | [User Name] |
Alien Details
| Household Member | [Full Name] |
|---|
| Current Alien Status | [field-value] |
|---|
| Alien Status on Entry | [field-value] |
|---|
| Date of Entry | [Date] | End Date | [Date] |
|---|
| Country/Region of Origin | [United States] | ||
|---|---|---|---|
| Country/Region of Citizenship | [United States] | ||
| Country/Region of Birth | [United States] |
| Registration Number | [field-value] | INS Section | [field-value] |
|---|---|---|---|
| Date Last Left Country | [Date] | Date Alien Status Granted | [Date] |
| Indigent Alien | [True] | Continuously Residing in Country since Date of Entry | [True] |
Comments
| [Comments] |