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fice CHXCAG0-0° ARE TTEENATIONAL ATRORZ, ‘eae te OR US Dpaenamend Sey 9g TRO. Events 28106052 Record of Sworn Statement in Administrative Proceedings pment ye ULBADRE paQRTzoen, cammn Intec of tama uutames wagers Avgrcago, 1 (our) ete spats gage npr CORD. TREYEND __ tere BP amt ie ed Sate Deptt ocd ey eed die ‘Sion actin rh rman ela eel Sat dower tae rig ‘XGUR/ABELICATION POR ADNEGSION TO THE UNITED STATES TODAY. ___ oop ok mmsh canna eee AS ee ‘Stare time: 06/03/2019 @ 28:00 : Would you like to continue in (0: De you understand the translator? 1G: Do you waderstena wast I've ania to you? @: Any statement you make mise Shaver ay questions ar this time? (: bo you ewear or aftiem thar alt the complete? ieee Q: What se your true and corcact name? Ri Latte Taber blurt martines. 25 Ase vos tow by any otter nanos Q: Want de your date of birth? Ki Sasuary 6, 1968) gt 25 countny wqce you born én? Q wat countzy are you a eltizen off Sf Roaeasr ana’ spain ante? given freely and voluntarily. Ave you willing to tavenants you are about to make are trun and 1577 he. 80007) US. Department of Homeland Security Continuation Page for Form “Aliens Nae ils NomiberA-215-@11-084 ] Date [OLEAURE MARTINEZ, LAURA Stain Events 29106052. | gune 3, 2019 Bvent No: ci11906000058| [av 1 was previously martled, ay ex-usband had Spanish peraanent residency. = moved bo (Spanish with hin, I lived theye for 18 years. lo: here are you curmontly Living? IR TeStetn, fue Tas thinking Sf returning to Eeuador. Now that I have my pension, T want fo return £0 my country. (9: How long hava you Lived there? [ki tor te years im Spain, but 1am in the process of moving to lo Ave you a citizen of any other country? las To the best of your knowledge, do you have any legal claim to United states citizenship? lo: Mave you aver held the statue of permanent resident in the 0.8.7 Ho shat {2 your father's first name? IR: Becundo titaurs at country was your father born int ik: Howador lg: Wat Sa your mother's firat nano? IR! Ghadie nartinas Gonselex igs thst country was your moter bora dat 12: Want ie the eitiaenantp of your perente? [Ai tenndortan, jo: wnat is your marital status? [ki Divorces. las Do you nave chidren? [ar Yea, T have a daughter. lar wat ds the name of your daughter? [as Gindis reabei Del Torre Uliauri. la: pitas sg, your ctttzenenis? lg: where is she? IRs xa Bovador la: During the inspection today you presented a valid spanish passport bearing the passport \Renber PADISW4E3, iesued in Spain on August 3, 2016 expiring on August 3, 2026, is this cane Tear 5 Tie —s av cortcat af, Fon LED Coming Page ew 060107) US. Department of Homeland Security Continuation Page for Form Be ne ‘Aliens Name Tile Number A-7i5-831-098 | Die ULLAURT MARTINEZ, LAURA ‘Stow Even’ 26106052, |" gune 3, 2019 (a: Today you attanpted to enter the United States on ESTA application # RINSIINSRIIT2C20, 2 \g: id you receive any hep when £11ing out the ESTA application? i mis travel agency whore T purchased my tickets Rad filled cut the HOTA for we, la: Are you aware of all the questions and your anmwers on the ESTA application? Kr Pidonte remember. 19: tow mich money do you travel with today? [Ar About #60 U5D. Ig: Bo, you Rave accoas to any other mesey white tn the 0.5.7 la: are you currently employed? [ar Nos fot at the moment. Tam retired and £ act: eos eo lo: Mat was your profession? i Take Care of Kidas 1 receive a pension cause T broke my hand. mat 4a your purpose of travel to the United states today? T'thought chat sith ny HEA that 7 could visit for a few sonth lo: ttnat in your purpose of traveling to the 0:3. today? () Jolnee my poyieiana and be with fim and repurn home s (Qt How tong are you planning to stay? jt2019, I have return tickets. lor During the inepaction of your phone, photos were discovered of a 1-551 U.S. Permanent Resident Card with your nem and pists ch it,” During the inspection of your phone, « photo jot « U.S. social security card with your nana on it was discovered. Where aid you acquire hile st the park, was talking to some ladies and I had mentioned that 1 vas ‘ting my boyfriend. aiso mentioned tha I vas bored. The ladles saked why jdon'e 7 just working asa make some money. I saic chat 1 don't have documenta to werk. Tha Nediee said that if T give her $150 USD, they could get we documents. fat a cleaner but my hand would get suotien. 1 told ay boyfriend and he Showin" have dons chat. hae T ahoslan't work, After I told Mim, 1 cue up the cards. lo: ow much did you pay for these cards? ik: gis0 Uap lo: What ie the name of the Ladies that provided you with the U.S. Permanent Resident Card Mina Ucé. Social security card? ‘dost remember le: Do you have their phone numbers? a . ; Sion L co Foam 31 Comimaton Page le. 040107) [Ps sparta oom’ cry Continuation Page for Form_#:177 fre Penene rece] Dar | [octave wanzowez, xavea ee mE | ac 3, tes f emia Teeceseateaa = lor tow ata you meet hin? IX; X'have knows Rim since T vas 15. We lost contact when we (Cheough Facebook. ig: were did you work? Rt vee clearing houses. E only worked a fev days, 1 didn't even get paid. lat x€ you're admitted today, are you planning to work? Is te, "Eihave’to secure te dcuador: My plans ere to return Go Bouador. My boyfriend [Rentioned to get married snd moved to the 0.8, but I don't want to move to the U. [Bentioned thar we could go to Spain, but I prefer to return to Ecuador. lot mave you ever received authorization from the U.8. governaent to work in the U. 1g: Bid you kowingly and willingly work illegally in the 0. documenta ie a federal crime? los purmant to section 222(a)-7 (a) (4) (2) Eceigraat without propes documentation of the Hi.” You engaged ta cnauthorized eaployeant Wwalie in the 0.3. Bo you understand that you are not eligible to enter the United States at ia cine? » ‘you are inadmissible, you are Deing xefused entry as a visa waiver applicant (a) (2) Do you understand? sedor to return to the U.S., you will be required to obtain a valid U.S. vis Saderstand? Do you lo: Do you understand that you are nat eligible to use the ESTA program again in the €uture? IR: le: 0 you wish to contact the Spantah/Eousdor cousular officer before your departure from the v8? ++ (CONTINUED ON NEXT PAG) % Tea = Foomt831 Cotton Page Re. non), SE Continuation Page for Form _*-877 Tile NanberA-2i5-811-094 ] Dale SIGH Events 76106852 | Gune 3, 2019 ‘Brent Ho: cHr1906000056) : 1: Do you have any medications you need to take? [Ai Yess am.” in the morning and ia the evening. Be yo have any guestionst Inna rine: 06/03/2029 @ 19:12 eer ——— ay Sipe UL Tie Pages

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