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).pdf
  • i-765.pdf
  • i-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, using 12/31/1996
  • 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, country Afghanistan; 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 pending I-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
  • 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-912 may be unnecessary if filing under the Afghan special immigrant fee-exempt path