U.S. Department of Justice

Immigration and Naturalization Service

FORM G-325A

BIOGRAPHIC INFORMATION

OMB No. 1115-0066

(Family name)

(First name)

(Middle name)

MALE

FEMALE

BIRTHDATE (Mo.-Day-Yr.)

NATIONALITY

FILE NUMBER

A-

ALL OTHER NAMES USED

(Including names by previous marriages)

CITY AND COUNTRY OF BIRTH

SOCIAL SECURITY NO.

(If any)

FAMILY NAME

FIRST NAME

DATE, CITY AND COUNTRY OF BIRTH (If known)

CITY AND COUNTRY OF RESIDENCE

FATHER

MOTHER (Maiden name)

FIRST NAME

BIRTHDATE

CITY & COUNTRY OF BIRTH

DATE OF MARRIAGE

PLACE OF MARRIAGE

HUSBAND(If none, so state)

FAMILY NAME

OR

(For wife, give maiden name)

WIFE

FORMER HUSBANDS OR WIVES (If none, so state)

(For wife, give maiden name)

FAMILY NAME

FIRST NAME

BIRTHDATE

DATE & PLACE OF MARRIAGE

DATE AND PLACE OF TERMINATION OF MARRIAGE

STREET AND NUMBER

CITY

PROVINCE OR STATE

COUNTRY

MONTH

YEAR

MONTH

YEAR

FROM

TO

PRESENT TIME

STREET AND NUMBER

CITY

PROVINCE OR STATE

COUNTRY

MONTH

YEAR

MONTH

YEAR

FROM

TO

FULL NAME AND ADDRESS OF EMPLOYER

OCCUPATION

MONTH

YEAR

MONTH

YEAR

FROM

TO

PRESENT TIME

(SPECIFY)

COMPLETE THIS BOX (Family Name)

(Given name)

(Middle name)

(Alien registration number)

THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:

NATURALIZATION

STATUS AS PERMANENT RESIDENT

OTHER (SPECIFY):

SIGNATURE OF APPLICANT

DATE

If your native alphabet is other than roman letters, write your name in your native alphabet here:

PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.

APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR

APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST

APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST

Show below last occupation abroad if not shown above. (Include all information requested above.)

Are all copies legible?

X

Yes

OFFICE CODE:

TYPE OF CASE:

DATE:

APPLICANT:

BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN

THE BOX OUTLINED BY HEAVY BORDER BELOW.

(2) Rec Br.

(OTHER AGENCY USE)

INS USE (Office of Origin)

Form G-325 A (Rev. 10-1-82)

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