CITIZENSHIP-BIOGRAPHIC INFORMATION MASTER

BIOGRAPHIC INFORMATION FOR CITIZENSHIP

FAMILY NAME

FIRST NAME

MIDDLE NAME

SELECT YOUR GENDER

BIRTH DATE

ALL OTHER NAMES USED (Including Names in Previous Marriage)

CITY AND COUNTRY OF BIRTH

CITIZENSHIP/ NATIONALITY

SOCIAL SECURITY NUMBER

Alien Number

CURRENT SPOUSE INFORMATION

Family Name

First Name (For wife, give maiden name)

Birth Date

City and Country of Birth

Date of Marriage

Place of Marriage

US Citizen or Permanent Resident?

Alien Number

How many times has your current spouse been married?

FORMER SPOUSE’S INFORMATION

First and Last Name

Date of Birth

Prior Spouse’s Immigration Status

Country of birth

Date of Marriage

Date marriage ended

NAME YOUR FORMER HUSBANDS OR WIVES

First and Last Name

Date of Birth

Date of Marriage

Place of Marriage

Divorce Date

Place of Divorce

Male under 26, when you arrived in the USA?

Selective service number

APPLICANT’S RESIDENCE LAST FIVE YEARS. LIST PRESENT ADDRESS FIRST

1) Address: Street and Number - City - State or Province Country

From

2) Address: Street and Number - City - State or Province Country

From

3) Address: Street and Number - City - State or Province Country

From

4) Address: Street and Number - City - State or Province Country

From

5) Address: Street and Number - City - State or Province Country

From

APPLICANT’S EMPLOYMENT AND/OR EDUCATION FOR THE LAST FIVE YEARS. (IF NONE, NO STATE) LIST PRESENT EMPLOYMENT FIRST

1) Full Name Employer

Employer Address: Number - Street - City - State - Postal Code

Occupation

From

Company Address: Number - Street - City - State - Postal Code

2) Full Name Employer

Employer Address: Number - Street - City - State - Postal Code

Occupation

From

Company Address: Number - Street - City - State - Postal Code

3) Full Name Employer

Employer Address: Number - Street - City - State - Postal Code

Occupation

From

Company Address: Number - Street - City - State - Postal Code

PROVIDE YOUR CHILD NAME, DATE OF BIRTH AND A-NUMBER IF APPLIES

FULL NAME

DATE OF BIRTH

A-Number

ADDRESS

FULL NAME

DATE OF BIRTH

A-Number

ADDRESS

LIST ALL YOUR TRIPS (TRAVELS) FOR THE LAST FIVE YEARS. STARTING FROM THE MOST RECENT ONE

Departure date

Arrival Date

DESTINATION/PLACE

Departure date

Arrival Date

DESTINATION/PLACE

Departure date

Arrival Date

DESTINATION/PLACE

Departure date

Arrival Date

DESTINATION/PLACE

Departure date

Arrival Date

DESTINATION/PLACE

* We are not lawyers or paralegals, as a result we cannot give you any legal advice and/or opinion, but we can assist you in filling out the forms and documents to process your application.

BIOGRAPHIC INFORMATION FOR CITIZENSHIP

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