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efta-efta01128433DOJ Data Set 9Other

Notice of Entry of Appearance

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Unknown
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DOJ Data Set 9
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efta-efta01128433
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2
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Notice of Entry of Appearance as Attorney or Accredited Representative Department of Homeland Security DHS Form G-28 010B No. 1615-0105 Expires 02/29/2016 1Part 1. Information About Attorney or Accredited Representative Name and Address of Attorney or Accredited Representative 1.a. Family Name Beskardes 1. (Last Name) l.b. Given Name Arda (First Name) 1.c. Middle Name 2. Name of Law Firm or Recognized Organization M Arda Beskardes ESQ 3. Name of Law Student or Law Graduate 4. State Bar Number N/A 5.a. Street Number 417 2. 5.b. Street Bergen Street Name 5.c. Apt. 0 Ste. 0 FIr. 0 5.d. City or Town Brooklyn 5.e. State 5.f. Zip Code NY 11217 5.g. Postal Code 5.h. Province Si. Country 3. United States 6. Daytime Phone Number l( 7 1 8 7 6 6 9 4 5 4 7. E-Mail Address of Attorney or Accredited Representative 4. Part 2. Eligibility Information For Attorney or Accredited Representative Check applicable items(s) below) I am an attorney eligible to practice law in, and a member in good standing of, the bar of the highest court(s) of the following State(s), possession(s), territory(ies), commonwealth(s), or the District of Columbia 1.a. IILIEW YORK, TENNESSEE 1.b. I (choose one) El am not 0 am subject to any order of any court or administrative agency disbarring, suspending, enjoining, restraining, or otherwise restricting me in the practice of law. (If you are subject to any order(s), explain fully in the space below.) I.b.1 I am an accredited representative of the following qualified nonprofit religious, charitable, social service, or similar organization established in the United States, so recognized by the Department of Justice, Board of Immigration Appeals pursuant to 8 CFR 292.2. Provide the name of the organization and the expiration date of accreditation. 2.a. Name of Recognized Organization 2.b. Date Accreditation expires (nm/ddoyyy) ► 0 I am associated with 3.a. the attorney or accredited representative of record who previously filed Form G-28 in this case, and my appearance as an attorney or accredited representative is at his or her request. If you check this item, also complete number I (I.a. - 1.b.1.) or number 2 (2.a. - 2.b.) in Part 2 (whichever is appropriate). I am a law student or law graduate working under the direct supervision of the attorney or accredited representative of record on this form in accordance with the requirements in 8 CFR 292. l(a)(2)(iv). I 1 I f I it Foin G-28 0 S/13 N Page I f 2 EFTA01128433 Part 3. Notice of Appearance as Attorney or Accredited Representative This appearance relates to immigration matters before select one): 1. USCIS - List the form number(s) 1.a. I-2908 2. O ICE - List the specific matter in which appearance is entered 3. K CBP - List the specific matter in which appearance is entered 3.a. I hereby enter my appearance as attorney or accredited representative at the request of: 4. Select only one: m Applicant 0 Petitioner 0 Respondent (ICE, CBP) Name of Applicant, Petitioner, or Respondent 1. Signature of Attorney or Accredited Representative 5.a. Family Name 2. Signature of Law Student or Law Graduate Stepanova (Last Name) 5.b. Given Name (First Name) 3. Yulia Date (mmidellypy) 10. L 5.c. Middle Name Sergeyevna Part 5. Additional Information 5.d. Name of Company or Organization. if applicable 1. 7. Provide A-Number and/or Receipt Number Pursuant to the Privacy Act of 1974 and DHS policy, I hereby consent to the disclosure to the named Attorney or Accredited Representative of any record pertaining to me that appears in any system of records of USCIS, ICE, or CBP. ta. Signature of Applicant, Petitioner, or Respondent 8.b. Date (mmidelkyyy) ► I Part 4. Signature of Attorney or Accredited Representative have read and understand the regulations and conditions contained in 8 CFR 103.2 and 292 governing appearances and representation before the Department of Homeland Security. I declare under penalty of perjury under the laws of the United States that the information I have provided on this form is true and correct. NOTE: Provide the mailing address of Petitioner, Applicant,or Respondent and not the address of the attorney or accredited representative, except when a safe mailing address is permitted on an application or petition filed with Form G-28. 6.a. Street Number and Name 6.b. Apt. El Ste. 0 Flr. 0 301 East 66th Street ION 6.c. City or Town New York 6.d. 6.e. Zip Code State NY 10065 II fll ui I II II Run (-28 02/2S/ . RIL!e 2 ( 2 EFTA01128434

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