11/12/2003 13:57 FAl 4078254188 INS INSP ORL 121004

;9/ll Personal Privacy

U.S. Department of Justice

Immigration and Naturalization Service Withdrawal of Application for Admission/Consular Notification

Basis for Action (check all that apply): File No: A| I

Date: 08/10/2001
Application for Admission Withdrawn
Visa/BCC Canceled
VWPP Refusal
[~] Ordered removed (inadmissible) by immigration judge -Section 235(b)(2)(order attachec
'[•"] Ordered removed (inadmissible) by lNS-Sectk>T» 235(b.)(l)(order attached)
Waiver revoked (212 (d)(3))(order attached)
Departure requirfed (8 CFR 240.25)(Forai 1-213 attached)
Notice to: American Coniuli JEDPAH From; USINS, ORL-IAP
(liocaiionj (Location)

Nyne fFAMILY. Given. Middlel

Citizenship Country of Birth IDaie of Birth

SAUDIARABIA SAUDIARABIA 03/23/1978
Complete foreign address (Mailing address)
HERRA ST SAUDtARABIAi

I
AW•line/vdssd of arrival 'ort of arrival Date of Arrival
SV55 / / ORL 08/10/2001
risa number, type Date, place of visa issuance SociaJ security number
r 1BBl/BZ 09/11/2000 JEDDAH
Rouoiu (Include all pertinent-frett concerning denial of application for admission. including use of altered,cowiterfeH or fraudulent documeaL-
PassengcrL // i larrivediatjOrtapdo International Airport on August 10, ZQQ1 via Saudi Arabia Airline flight # SV
55 from Jeddah, Saudia Arabia;. Subject presented himself to the Immigration Inspector d \\. I as visitor for pleasure,
he presented a valid Saudi pas$portj^^^^ I rtilh & valid Bl/ B2 visa #1 land 194 #| jwith address of
| // i | Subject stated that he was going to Slay in Tampa, PL for a month with afriendby the
name ofl [Subject was referred to secondary inspection because he din'c have a. return ticket and was in possession of only
fifty USD and np Credit Cards. During! secondary inspection ihe subject admitted that a friend by the name oil |was
going to purchase his return ticket because he owed him $ 1,000.00 USD. He borrowed the money on his last trip to Jeddah. He also
stated that Mr.j Iwas waiting for him at the International arrival area. The Saudi Arabia Airline Rep (Maha Taonous)
•went to the teqninaJ to locate M j J ^ : I however he couldn't be found. Then the subject provided Mrl ""Itclephone number,
] I contacted Mr.| Knd he staled that he was in Lincoln, Nebraska. He received a call from) ""{mother
yesterday 08/09/01 and she informed him that he was inbound to the USA on Saudia Arabia flight # 55 from Jeddah, JFK, ORL
arriving at Orlando, FL on 08/10/01. However he slated that they changed the plan, they were supposed to wait for his arrival into
Orlando and then he was to contact them for the travel arrangements to be made. He was planning a trip to Orlando bul it will take
two to three days to drive to Orlando. He wants for! |to wait for him at the Airport. I explained that was not possible, it was
not proper for us to admit a passenger with out sufficient money aod no return ticket. This officer explained toj [that the
subject could not stay at the Airport with out enough money for two days without any guaranty that he would be met.
(ConiiftUft oo reverse or attachsepaiatcjhcet, as needed)

JOSE EMELENDEZ-PEREZ, II
N»me and Title of Officer (Prioi)
Form i-275 (Rev, 4/1/97)
11/12/2003 13:57 FA? 4078254188 INS INS-P;:;Q;Ftfi9/^ P e r s o n a l P r i v a c y 0005

U.S. Department of Justice

Immigration mid Naturalization Sci Page for Form 1275
Alien s Name Rle Nurnbof Date
J Af 8/10/01

Then the subject vided Mr J (telephone humber.| I 11 contacted IVflrj land be stated that
he bad not see Jin along time and he was working with no time to talk or take care of him. However]" |
stated that be stayed,atMr.| [residence for two weeks on his last visit. Subject in possession of a Florida ID
with Mr. | {address. ID #| ""lissued on Q3/2g/01.Thc interpreter stated that Mr| [sounded
like hs din1! "want any contact with| [I called Mr. | Tagaiti to see if he would make a hotel reservation for
|or a Airline reservation to Lmcohi, Nebraska and after waiting for over three hours I could not get him to agree
on any of the requests. At that time I was left with no other options but to deny admission based on
212(a)(7)(A)(iXI), immigrant without an immigrant visa, and 2l2(a)(4)(A), public charge of the INA. Subject was
allowed to withdraw his application for admission, and an 1-275 was executed. Subject departed on 8/11/2001 at
1750,hours to Jeddah from Washington DC on Saudia Airlines flight SV 40..

ignature Title

of pages

faim M31 Comnaxhn Pi|> m«.

11/12/2003 13:57 FAI 4078254188 INS INSP ORL

3/11 Personal Privacy

TO BE COMPLETED BY ALIEN WHEN APPLICATION FOR ADMISSION WITHDRAWN

I understand that my admissibility is questioned for Che above reasons, which I have read or which have been read to me
in the ARABIC language. I request that I be permitted to withdraw my application for admission and return
abroad. I understand that my voluntary withdrawal of my application for admission is in lieu of a. formal determination
concerning my admissibility:
by an immigration officer f~l in removal proceedings before an immigration judge.

f'/V-OL
Date Signature of alien

INSTRUCTIONS

For withdrawal procedures, see Inspections Field Manual Chapters 17.2 and 17, IS. Aliens who appear inadmissible pursuant
to section 235(b)(2) of the INA who elect to withdraw application for admission may choose at any time to appear before an
immigration judge for a hearing in removal proceedings- Aliens who appear inadmissible pursuant to section 235(b)(l) or
inadmissible pursuant to 8 CFR 217.4 are not entitle to a hearing before an immigration judge.

If a v«a is canceled pursuant to 22 CFR 41.112 or a consular-Is sued Border Crossing Card is voided under authority of 22 CFR
41.32 or 8 CFR 212.6, forward original of 1-275 to consular post which issued the canceled or voided document

ATTACH: Any lifted document

Relating Form 1-213 or 1-862 (Notice to Appear) ' •
Relating removal or waiver revocation order
Any relating memorandum report or sworn statement

Form I-27S (Rev. 4-01-97)N

11/12/2003 13:57 FAX 4078254188 INS INSP ORL 12)007
/9/11 Personal Privacy

us. Departmeat of justice Record of S worn Statement in

Administrative Proceeding

Office: Orlando
i International Airport
^^^^^^^^^^^B^^^^^-.^— ., , . File No.: _—^
A[
Statement by:
In the case of:
At: >. Orlando, Florida Date: . 08/10/2001
Before: JOSE E MELENDEZ- PEREZ, n In the .ARABIC language.
(Nuac tud THte) ' ~~~——~^~—~^^^^—

Interpreter: I I Interpreter employed by: ASIG

I am an officer of the United Stales Immigration and Naturalization Service, authorized by law to
administer oaths and take testimony in connection with the enforcement of the Immigration and
Nationality laws of the United States. I desire to take your sworn statement regarding: your
application for entry into the United States,

Q. Do you understand what T have said to you?

A. YES

Q. Any statement you make must be given freely and voluntarily. Are you willing to. answer my
questions at this time'?
A. YES

Q. Do you swear or affirm that all the statements you are about to make, will be true and complete?
A. YES

Q. TELL ME YOU COMPLETE AND CORRECT NAME?

A!
Q. WHEN AND WHERE WERE YOU BORN?

A. JEDDAH, SAUDI ARABIA

Q. OF WHAT COUNTRY ARE YOU A CITIZEN?

A. SAUDI ARABIA.

Page 1 of ^_ Initials: /\\,O ._ 1-877 (Rev. 7/25/97)

11/12/2003 13:57 FAX 4078254188 INS INSP ORL 121008
9/11 Personal Privacy
D.S: Department of Justice
Immigration and Naturalization S«r»*_-'' t^itinuatlon Page for Form 1877
Alien's Name File Number Date
[••-" 8/10/01

Q. DO YOU HAVE ANY REASON TO BELIEVE THAT YOU ARE A US CITIZEN?

A. NO.

Q. DO YOU HAVE ANY FAMILY MEMBERS THAT ARE A US. CITIZEN OR LEGAL PERMANET '
RESIDENT?- .... . . .

A. I HAVE A UNCLE THAT IS A US CntZEN AND LIVE IN TEXAS.

Q. DO YOU KNOW YOUR UNCLE'S ADDRESS OR TELEPHONE NO?

A. NO.

Q. WHAT IS YOUR PERMANENT ADDRESS AND TELEPHONE NO?

A. HERRA ST JEDDAH, SAUDI ARABIA NO HOUSE NUMBER AND THE TELEPHONE IS

DICONNECTED.

Q. HAVE YOU VISITED THE USA BEFORE?

A. YES.

Q. WHEN HOW AND THROUGH WHERE DID YOU ENTER THE UNITED STATES THE LAST TIME?

A. CAME THROUGH JFK AIRPORT ON MAR 23, 2001

Q. HOW LONG DID YOU STAY IN THE UNITED STATES ON YOUR LAST VISIT?

A. 2 WEEKS.

Q. WHAT IS THE PURPOSE OF YOUR TRIP TO THE UNITE STATES?

A. VACATION.

Q. WHY DON1! YOU HAVE A RETURNED TICKET BACK TO JEDDAH?

A. BECAUSE I WAS TOLD THAT IT WAS CHEAPER TO PURCHASE THE TICKET IN THE USA.

Title

pages
11/12/2003 13:57 FAX 4078254188 INS INSP OKI.
.....-•;:;;>',J9/11 Personal Privacy
•U.S.- Department of Justice
Immigration and Naturalization Servv_X k~<itinuation Page for Form 1877
Ella Number Dale
8/10/01

Q. BUT YOU DONT HAVE ANY MONEY TO PURCHASES THE PLANE TICKET, HOW DID YOU
PLAN TO PAY FOR IT?

IS TAKING CARE OF MY PLANE TICKET HE OWE ME $1,000.00 USD. HE BORROW

THE MONEY ON HIS LAST TRIP TO JEDDAH.

Q. WHAT IS YQUR RELATION WTTBJ / }?

A.I [OLDER'S BROTHER IS MARRIED TO MY SISTER.

WE HAVE CONTACTED MR|_ ]VIA TELEPHONE AND HE STATED THAT HE WAS GOING
TO MAKE SOME LODGING AND TRANSPORTATION ARRANGEMENTS FOR YOU HOWEVER THAT
WAS OVER 3 HRS AGO. NO ARRANGEMENT HAVE BEEN MADE AT THIS TIME. AT THIS TIME YOU
APPEAR INADMISSIBLE UNDER SECTION 2l2(a)C7)(A)(i)(I)IMMIGRANT WITHOUT'AN.IMMIGRANT
VISA AND 212(a)(4)(A) PUBLIC CHARGE.

Q. HOW MUCH MONEY DO YOU HAVE WITH YOU?

A. $50.09 USD, NO CREDIT CARDS.

Title

of pages

Form H3I Co«injuan