title: “FORM_PREFILL_VALUES” area: “Immigration” legacy_source: “legacy_import/immigration/FORM_PREFILL_VALUES.md” imported_at: “2026-09-25T02:15:53.380Z” verification_status: “indexed”
Form Prefill Values
This folder holds the best-effort prefill plan for:
i-485 (1).pdfi-765.pdfi-912.pdf
The actual draft PDFs were not written in this session because the environment blocked the elevated PDF-write step. The field maps and generation script are saved here so the prefills can be generated later without redoing the analysis.
Shared Applicant Values
- Full legal name:
Zaitullah Jan Khebarkhil - Alternate spelling used:
Zaitullah Jan KhebarKhil - DOB to use:
01/01/1997 - Other DOB to review:
12/31/1996 - Primary A-number to use for current filing:
A236 243 267 - Other A-numbers to disclose/review:
A141 029 165,A244 153 0333 - Country of birth:
Afghanistan - Province of birth found in notes:
Khost Province - Country of citizenship:
Afghanistan - Current filing address to use:
701 E 21st St Apt 20, Indianapolis, IN 46202 - Phone to use for current filing:
317-918-5435 - Email to use for current filing:
zaitullah.khebarkhil@gmail.com - I-94 number:
656166455A2 - Date of last arrival:
08/31/2021 - I-94 class / status at last arrival:
OAR - I-94 admit-until date:
08/30/2023
I-485 Best-Effort Prefill
- Filing role: principal applicant
- Category to select: certain Afghan or Iraqi national,
Form I-360 or Form DS-157 - EOIR proceedings question:
No - Sex:
Male - Marital status selected in draft plan:
Married - Other DOB question:
Yes, using12/31/1996 - Other A-number question:
Yes - Physical address:
701 E 21st St Apt 20, Indianapolis, IN 46202 - Mailing / safe address: same as above
- I-94 name block: same legal name
- I-94 number / status / admit-until: filled from staged I-94
- Applicant phone/email block: filled from current intended filing contact
Left blank for review:
- Passport number / passport expiration / passport issuing country
- Place of last arrival into the United States
- Underlying petition receipt number
- Priority date
- Any signature/date fields
- Any inadmissibility yes/no answers not directly supported by the file set
I-765 Best-Effort Prefill
- Legal name: filled
- Alias line:
Zaitullah Jan KhebarKhil - Mailing address:
701 E 21st St Apt 20, Indianapolis, IN 46202 - Mailing same as physical:
Yes - A-number:
236243267 - Place of birth: province
Khost Province, countryAfghanistan; city/town left blank - Country of citizenship:
Afghanistan - I-94 number:
656166455A2 - Date of last entry:
08/31/2021 - Status at last entry:
OAR parole - Eligibility category entered:
(c)(9)for filing with a pendingI-485 - Marital status selected in draft plan:
Married - Applicant statement: English-reader box selected
- Applicant phone/email block: filled from current intended filing contact
Left blank for review:
- SSN
- Passport / travel document number
- Passport expiration / issuing country
- Place of last arrival
- Current immigration status or category
- Signature/date fields
I-912 Best-Effort Prefill
This was treated as a backup draft only because the current file set and USCIS fee guidance point to a fee-exempt Afghan special immigrant filing path rather than an ordinary fee-waiver filing.
Filled in draft plan:
- Requestor name
- Alternate name line
- A-number
- DOB
- Marital status selected in draft plan:
Married - Part 3 applications table:
- line 1:
I-485 - line 2:
I-765 - total forms:
2
- line 1:
- Requestor phone/email block
- Requestor statement: English-reader box selected
Intentionally left blank:
- Fee-waiver basis in Part 1
- Current status wording
- SSN
- Income / hardship / means-tested-benefit sections
- Signature/date fields
Review Flags
- Passport bio page was still not found in the folder
- Medical evidence is still only a partial vaccination / I-693-related page
- COM approval timeline still needs human review
- Marital-status fields were filled from narrative notes, not from a direct civil record in the staged packet
- The
I-912may be unnecessary if filing under the Afghan special immigrant fee-exempt path