ALIEN #A LEAD ALIEN # A ATTORNEY:

NAME: DOB: ADDRESS: CNTRL CITY:

ADVISALS & ITEMS CONVEYED BY THE IMMIGRATION JUDGE in Removal / Expedited/ Deportation/ Rescission/ Other:

Identification of Parties Explanation of / Waived Reading (8CFR240.48(a))

(IJ, Location, Attorneys, Interpreter) Explain Purpose of Hearing.

Language Spoken Determined ________________________ . Right to Counsel at Own Expense

_____ Alien Sworn Under Oath. Receipt of Legal aid List

Alien Identified as Present by Name. Receipt of Appeal Form EOIR-41

_____ Current Address Determined Limitation of Rights / Change of Address

Alien Accepts Counsel’s Representation Elects to Proceed Without Attorney

_____ Private Hearing - Waived / Not Waived __ _ _ Rights to Examine. Object & Present Evidence on

No Objection to Joint/Group Hearing Own behalf / Question Witnesses

_____ BOND Amount $__________ Waived / Not Waived _____ Received Charging Document / Mark in Evidence

_____ 10 Day Notice Waived _____ Allegations/Charges Read / Waived

Other: ____________________________________________ . _ Permanent Bar Advisal re: Frivolous Asylum Filing

PLEAD TO CHARGING DOCUMENT ON: PLEAD TO LODGED CHARGE ON:

CHARGE: 237 (a) ( ) ( ) ( ) ( ) LODGED: 237 (a) ( ) ( ) ( ) ( )

212 (a) ( ) ( ) ( ) ( ) 212 (a) ( ) ( ) ( ) ( )

CONTESTED ( ) ( ) ( ) ( ) CONTESTED ( ) ( ) ( )

NOT CONTESTED ( ) ( ) ( ) ( ) NOT CONTESTED ( ) ( ) ( )

SUSTAINED ( ) ( ) ( ) ( ) SUSTAINED ( ) ( ) ( )

NOT SUSTAINED ( ) ( ) ( ) ( ) NOT SUSTAINED ( ) ( ) ( )

___________________________________________________________________________________________________________

DESIGNATION OF COUNTRY: DIRECTED: OR

APPLICATIONS: CAT 208 241(b) 212 ( ) 216 240A 240B 245 ( ) 246 249 OTHER: NONE

CALL UP: REASON:

PROCEEDINGS: Opened / Reopened / Remanded / COV ____________________________ IJ: _______________________ ________________________

On Adjourned to: Time: For: Code: ______

T/A

On Adjourned to: Time: For: Code: ______

On Adjourned to: Time: For: Code: ______

On Adjourned to: Time: For: Code: ______

On Adjourned to: Time: For: Code: ______

DECISION: / Oral /Written Completed on EOIR-6 VR to EOIR7- Deport

Removal Order Termination In Absentia Admin Close COV/Transfer Other:

Application GRANTED: 208/241(b) 212 ( ) 216 240A 240B 245 ( ) 246 249 DCAT WCAT

Application DENIED: 208/241(b) 212 ( ) 216 240A 240B 245 ( ) 246 249 DCAT WCAT

APPEAL: ? Waived Reserved by ? Alien ? DHS APPEAL DUE DATE:

GIVEN APPEAL RIGHTS AND FORMS

REMARKS/NOTES BY IJ: (Tape of Hearing found in ROP No A EXH. 1 I-862 / I-863 Other:

EXH. 2

EXH. 3

EXH. 4

EXH. 5

EXH. 6

EXH. 7

EXH. 8

EXH. 9

EXH. 10

TYKF Rev. 09-25-06 (Rev. 13)