of Homeland Security
US Ciiznship ane Imamigration Sewices Record of Determination/Credible Fear Worksheet
ZHN 246 825260 ‘TEIEDA FLORIAN
‘Asylum Oifice Code | A-File Number ‘Noneitzen’s Last Family Name
Brown-Williams ve rea
[Asylum Officers LastName | Asylum Officers First Name ‘Noncitize's Nationality
All statements in italics must be read to the applicant
SECTION INTERVIEW PREPARATION
11 Date of arrival [MM/DD/YY]: _03/18/23
12 Place ofencounter:C]Port of Entry = eS
(specify): Unknown, Biliniand
13 Detention status at interview: DX] Detained [] Non-detained
MM 1fdcuined. date ofdceation MM/DDYY]._02/1823
15 sréxuined place ofdetenion: Torrance County Detention Facility, 209 County Road AOA, Estancia NM 87016
16 Intended desnaton vpn eles rom dteton or or-lined adres in the US
88 Malone Avenue, Belleville, NJ 07109
17 Date of interview [MM/DD/YY]: _03/24/23
Intevew ite (applicant's location): Estancia, NAC(Telephonie)
Interview mode: [] In person [J Telephonic [] Video
Applicant received and signed Form M-444 and rolevant pro honolist. Bes C1No
Date signed [MMUDDIYY]: _03/18/23
‘orientation more than one week from date of detention, explain delay:
Nia,
Lut
142° Docs applicant have consutant(syrepmesentative? [J Yes [J No
yes, consutam(s)representative name, addres, telephone number and relationship to applica:
A
12 Fenons preset al the tren (Check which apply and inden peraon or by telephone or videoconference)
TD consutane
Di Represeatve
Dotter, ise
No one oer than applicant, sum officer andthe interpreter (rapricable
Langsage uc by arplicen in imeriew: _Span
Imerrterused in interview? BQ Yes ONo
inerpretr used in interview, was the interpreter contractor
EX Contractor] Applicant provided
1s
°F provided by the applicant?
Fox 1890 (Rew 12057022) rage borsADAG $25260
6B Asstum officer ead the fllowing paragraph tothe applicant ot the beginning of he nerviw
The purpose ofthis interview isto determine whether you may be eligible for asytum or protection from removal to a connury where
you fear persceutfon or torture. Lan goin (0 ask yon questions about why yo fear returning to your county or ay other courary
‘You may be removed to. {eis very importan that sou rela tral during the inierview and that you respond 0 all of my questions.
This maybe your only opportunity to give such information. Please feel comfortable relling me why you fer harm. US. taw has
strict rles to prevent the disclosure of what you tell me today about the reasons why yo fear harm The information you ell me
about the reasons for your fear will not be disclosed to your government, excep excepifonal circumstances, The statements yOu
‘make today ill be used in didn your claim and may be ised i any future immigration proceedings. 11s important thal
understand each other. Yat any time you donot understand me, please sop me amd tell x yon do no andestand so that I ean
explain it 10 you. Ufat any time you fell me something I do not understand, I will ask you to explain.
SECTION II: ‘BIOGRAPHIC INFORMATION
2 _TEJEDA FLORIAN
ast Name/ Family Name [ALL CAPS)
Miguel
First Name
Date of birth [MMDD/YY]: _9/13/1983,
LWA
‘Other nares and dates of Binh used
Peru
Country of birth
anires) of eiizenzhip (iat al)
La Libertad, Peru
‘Adiress prior to coming tothe US, (List Addiess, Ciy/Town, Provinee, Sale, Department and Country)
Hispanicsndigenous 241 Cathal
“Applicant's race oF ethniety ‘Applicant's religion
Spanish
Al anguages spoken by the applicant
Marital status: (Single, Never Married [] Married Legally Separated [] Divorced []Widowed
2.14 Did spouse arrive with applicant? (2) Yes. No
215 Is spouse included in applicants claim? [} Yes [JNo
2.46 Ifeurently married (including common law, informal mariage) list spouse's name, citizenship, and present lo
Gf with applicant, provide A-Number): oo
Foxm 1370 (Rev 1208/2022)DEPARTMENT OF HOMELAND SECURITY
U.S. Immigration and Customs Enforcement
Date: March 28, 2023
In Reference to: A246 825 260
INTERIM NOTICE AUTHORIZING PAROLE
This letter is to inform you that U.S. Immigration and Customs Enforcement (ICE) has decided to
Parole you from its custody pursuant to its authority under section 212(d)(5)(A) of the Immigration
and Nationality Act. This notice is being issued to you in lieu of Form 1-94, Arrival-Departure Record,
see 8 CFR. § 235.1(h)(2), and you should maintain a copy of this letter in your possession at all
times.
‘Your parole authorization is valid for one year beginning from the date on this notice and will
automatically terminate upon your departure or removal from the United States or at the end of the
‘one-year period unless ICE provides you with an extension at its discretion. ICE may also terminate
parole on notice prior to the automatic termination date. Parole is entirely within the discretion of ICE
and can be terminated at any time and for any reason. Your parole is not valid for work authorization
and is not an admission in lawful status.
Parole is conditioned on you complying with the terms and conditions of your release. You must
notify ICE and the immigration judge of any address correction or address change. You must report
for every scheduled hearing before the immigration court and every appointment as directed by ICE.
(including for removal from the United States should you become subject to a final removal order).
You must not violate any local, State or Federal laws or ordinances. You must comply with any other
specified conditions if identified separately.
I certify that I received a copy of this notice.
March 28, 2023
Date:
CERTIFICATE OF SERVICE
I certify that on today’s date, I served the respondent a copy of this parole notice by the following
Imethod (as checked):
[x]in person [Jother:
|G. Diaz-Torres, Deportation Officer March 28, 2023
i ite Official SignatureFins 4 1335240028 Subject
age
303400725 vent Not BP@303001066
| LPAI Rae (Gora ties) Fra Name Vice Name ]2he | 3 Corny Green |
TESEDA FLORIAN, MIGUEL ANGEL Bo a
ae 5 Date ppreharced GO
March 18, 2023
7 BO SRNARE EA LIBERTAD, PERI
09/13/1983 '
Ser THORNS
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LUNITEDSTATESDePARMMAES OF HOMELAND SLCLRSYre ras
U.S Department of Homeland Security c ion Page for Form:
ets Name [rie Naber par
‘Tejeda Florian, Miguel Anget A246 825 260 March 28, 2023,
Based on a review of all the a (CE has determined that your release
‘on parole is appropriate in your ease, with the following conditions:
1, Upon posting a bond in the amount oft NA
2. With enrollment in: N/A
3. Other: N/A
You are to report to the ICE Non-Detained Office located at:
You are to report a
[Alien Name: Tejeda Florian, Miguel Angel
Laz: ‘A246 825 260
‘Alien Address: 85 Malone A
Belleville, NJ 07109
(Alien Telephone number: (551) 999-0285
[Alien’s Si
Siensture tas rive
IG. Diaz-Terres, Deportation Officer Deportation Officer
Form 1-831 Continuation Page