PETITIONS FOR SPOUSE OR FIANCE

  1. The Foreign National:

1. Name

1a. Other names used:

2. SS#

3. Address

3a. Phone number

4. Date of Birth

5. Place of Birth

6. Nationality

7. Date of last entry in the US

8. Place of entry

9. Immigration Status

10. Date status expires (if applicable)

11. Full name of father

12. Date and place of birth of father

13. City and country of residence of father

14. Full name (maiden name) of mother

15. Date and place of birth of mother

16. City and country of residence of mother

17. Date and place of present marriage

18. Maiden names and date of birth of former spouses

19. Date and place the previous marriage

20. Date and place of termination of previous marriage

21. Addresses during the last five years (from:... to:.... dates)

Street Address, City, State/Country, ZIP code / From: month/year / To: month/year

22. Last address outside of the US (from... to... mm/year)

23. Names and addresses of employers for the last five years (from:... to:... dates). [Include the occupation]

Name of company / Address / Occupation / From:
mm/yyyy / To: mm/yyyy
  1. Military service: place, date (from... to...), branch, rank/position, military specialty/occupation
  2. Children – names, date of birth, country of birth.
  1. Have you ever, in or outside of the US, been arrested, cited, charged, indicated, fined or imprisoned for braking or violating any law or ordinance? Date and place? Charge? Disposition?

B. The Petitioner (US Citizen / permanent resident):

1. Name

1a. Other names used:

2. SS#

3. Address

3a. Phone number

4. Date of Birth

5. Place of Birth

6. Alien number (if applicable)

7. Date you became Permanent Resident (if applicable)

8. Place and class of admission (if applicable)

9. Nationality

10. Number of naturalization certificate, date and place of naturalization (if applicable)

11. Full name of father

12. Date and place of birth of father

13. City and country of residence of father

14. Full name (maiden name) of mother

15. Date and place of birth of mother

16. City and country of residence of mother

17. Date and place of present marriage

18. Maiden names and date of birth of former spouses

19. Date and place of previous marriage-(s)

20. Date and place of termination of previous marriage-(s)

21. Addresses during the last five years (from:... to:.... dates)

Street Address, City, State/Country, ZIP code / From: month/year / To: month/year

22. Names and addresses of employers for the last five years (from:... to:... dates). Include what the occupation]

Name of company / Address / Occupation / From: / To:

23. Current annual incomes or wage per hour and how many work hours weekly.

24. Last foreign address (if applicable)