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OMB No. 1615-0008; Expires 06/30/2011
Department of Homeland Security
U.S. Citizenship and Immigration Services                                                                    G-325A, Biographic Information

(Family Name)                    (First Name)                   (Middle Name)            Male      Date of Birth       Citizenship/Nationality File Number
                                                                                                   (mm/dd/yyyy)
                                                                                         Female                                                A
All Other Names Used (include names by previous marriages)                       City and Country of Birth                             U.S. Social Security # (if any)


                 Family Name                      First Name              Date of Birth City, and Country of Birth (if known) City and Country of Residence
                                                                          (mm/dd/yyyy)

Father
Mother
(Maiden Name)
Current Husband or Wife (If none, so state)                 First Name             Date of Birth     City and Country of Birth   Date of Marriage Place of Marriage
Family Name (For wife, give maiden name)                                           (mm/dd/yyyy)



Former Husbands or Wives (If none, so state) First Name                  Date of Birth   Date and Place of Marriage         Date and Place of Termination of Marriage
Family Name (For wife, give maiden name)                                 (mm/dd/yyyy)




Applicant's residence last five years. List present address first.
                                                                                                                                 From                      To
             Street and Number                             City             Province or State            Country
                                                                                                                            Month     Year         Month        Year
                                                                                                                                                     Present Time




Applicant's last address outside the United States of more than one year.
                                                                                                                                 From                      To
             Street and Number                             City             Province or State            Country
                                                                                                                            Month     Year         Month        Year


Applicant's employment last five years. (If none, so state.) List present employment first.
                                                                                                                               From                        To
                      Full Name and Address of Employer                                    Occupation (Specify)
                                                                                                                          Month     Year           Month        Year
                                                                                                                                                    Present Time




Last occupation abroad if not shown above. (Include all information requested above.)


This form is submitted in connection with an application for:                      Signature of Applicant                                               Date
     Naturalization                     Other (Specify):
     Status as Permanent Resident
If your native alphabet is in other than Roman letters, write your name in your native alphabet below:


Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact.
Applicant: Print your name and Alien Registration Number in the box outlined by heavy border below.
Complete This Box (Family Name)                             (Given Name)                             (Middle Name)                   (Alien Registration Number)
                                                                                                                                       A
                                                                                                                                       Form G-325A (Rev. 06/12/09)Y
Instructions


What Is the Purpose of This Form?

Complete this biographical information form and include it with the application or petition you are submitting to U.S. Citizenship and
Immigration Services (USCIS).
USCIS will use the information you provide on this form to process your application or petition.

If you have any questions on how to complete the form, call our National Customer Service Center at 1-800-375-5283.



Privacy Act Notice

We ask for the information on this form, and associated evidence, to determine if you have established eligibility for the immigration
benefit for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as
amended. We may provide this information to other government agencies. Failure to provide this information, and any requested
evidence, may delay a final decision or result in denial of your immigration benefit.




Paperwork Reduction Act

An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at
15 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
U.S. Citizenship and Immigration Services, Regulatory Products Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008,
Washington, DC 20529-2210. OMB No. 1615-0008. Do not mail your application to this address.




                                                                                                         Form G-325A (Rev. 06/12/09)Y Page 2

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G 325a

  • 1. OMB No. 1615-0008; Expires 06/30/2011 Department of Homeland Security U.S. Citizenship and Immigration Services G-325A, Biographic Information (Family Name) (First Name) (Middle Name) Male Date of Birth Citizenship/Nationality File Number (mm/dd/yyyy) Female A All Other Names Used (include names by previous marriages) City and Country of Birth U.S. Social Security # (if any) Family Name First Name Date of Birth City, and Country of Birth (if known) City and Country of Residence (mm/dd/yyyy) Father Mother (Maiden Name) Current Husband or Wife (If none, so state) First Name Date of Birth City and Country of Birth Date of Marriage Place of Marriage Family Name (For wife, give maiden name) (mm/dd/yyyy) Former Husbands or Wives (If none, so state) First Name Date of Birth Date and Place of Marriage Date and Place of Termination of Marriage Family Name (For wife, give maiden name) (mm/dd/yyyy) Applicant's residence last five years. List present address first. From To Street and Number City Province or State Country Month Year Month Year Present Time Applicant's last address outside the United States of more than one year. From To Street and Number City Province or State Country Month Year Month Year Applicant's employment last five years. (If none, so state.) List present employment first. From To Full Name and Address of Employer Occupation (Specify) Month Year Month Year Present Time Last occupation abroad if not shown above. (Include all information requested above.) This form is submitted in connection with an application for: Signature of Applicant Date Naturalization Other (Specify): Status as Permanent Resident If your native alphabet is in other than Roman letters, write your name in your native alphabet below: Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact. Applicant: Print your name and Alien Registration Number in the box outlined by heavy border below. Complete This Box (Family Name) (Given Name) (Middle Name) (Alien Registration Number) A Form G-325A (Rev. 06/12/09)Y
  • 2. Instructions What Is the Purpose of This Form? Complete this biographical information form and include it with the application or petition you are submitting to U.S. Citizenship and Immigration Services (USCIS). USCIS will use the information you provide on this form to process your application or petition. If you have any questions on how to complete the form, call our National Customer Service Center at 1-800-375-5283. Privacy Act Notice We ask for the information on this form, and associated evidence, to determine if you have established eligibility for the immigration benefit for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as amended. We may provide this information to other government agencies. Failure to provide this information, and any requested evidence, may delay a final decision or result in denial of your immigration benefit. Paperwork Reduction Act An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at 15 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Regulatory Products Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529-2210. OMB No. 1615-0008. Do not mail your application to this address. Form G-325A (Rev. 06/12/09)Y Page 2