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vanessa@emanagementsolutions.us
8865 Commodity Cir Ste 13-102 Orlando FL
(407) 815-4535
(407) 729-6636
EMS
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8865 Commodity Cir Ste 13-102 Orlando FL
(407) 815-4535
(407) 729-6636
EMS
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Personal Services
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BIOGRAPHIC INFORMATION FOR CITIZENSHIP
FAMILY NAME
FIRST NAME
MIDDLE NAME
SELECT YOUR GENDER
Select
MALE
FEMALE
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?
Select
Yes
No
Selective service number
APPLICANT’S RESIDENCE LAST FIVE YEARS. LIST PRESENT ADDRESS FIRST
1)
Address: Street and Number - City - State or Province Country
From
To
2)
Address: Street and Number - City - State or Province Country
From
To
3)
Address: Street and Number - City - State or Province Country
From
To
4)
Address: Street and Number - City - State or Province Country
From
To
5)
Address: Street and Number - City - State or Province Country
From
To
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
To
Company Address: Number - Street - City - State - Postal Code
2)
Full Name Employer
Employer Address: Number - Street - City - State - Postal Code
Occupation
From
To
Company Address: Number - Street - City - State - Postal Code
3)
Full Name Employer
Employer Address: Number - Street - City - State - Postal Code
Occupation
From
To
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
Send
* 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.
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