Biographic Information INS235A G 325a

User Manual: INS235A

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G-325A, Biographic Information
Family Name First Name File Number
Citizenship/Nationality
Middle Name Date of Birth
(mm/dd/yyyy)
A
OMB No. 1615-0008; Expires 06/30/2017
Department of Homeland Security
U.S. Citizenship and Immigration Services
All Other Names Used (include names by previous marriages) U.S. Social Security No. (if any)
City and Country of Birth
Family Name First Name City, and Country of Birth
(if known)
Father
Mother
(Maiden Name)
City and Country of Residence
Current Husband or Wife (If none, so state)
Family Name (For wife, give maiden name) Date of Birth
(mm/dd/yyyy)
First Name City and Country of Birth Date of Marriage Place of Marriage
Applicant's residence last five years. List present address first.
Street Name and Number City Province or State Country From
Month Year To
Month Year
Present Time
Applicant's last address outside the United States of more than 1 year.
Street Name and Number City Province or State Country From
Month Year To
Month Year
Full Name and Address of Employer Occupation (Specify) From
Month Year To
Month Year
Present Time
Applicant's employment last five years. (If none, so state.) List present employment first.
If your native alphabet is in other than Roman letters, write your name in your native alphabet below:
Last occupation abroad if not shown above. (Include all information requested above.)
This form is submitted in connection with an application for:
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.
(Alien Registration Number)
Complete This Box (Family Name) (Middle Name)(Given Name)
Date
Signature of Applicant
Naturalization Other (Specify):
Status as Permanent Resident
Form G-325A (Rev. 06/01/15) Y
First Name Date of Birth
(mm/dd/yyyy) Date and Place of Marriage Date and Place of Termination of
Marriage
Former Husbands or Wives (If none, so state)
Family Name (For wife, give maiden name)
Female
Male
Date of Birth
(mm/dd/yyyy)
A
Instructions
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. For TDD
(hearing impaired) call: 1-800-767-1833.
Form G-325A (Rev. 06/01/15) Y Page 2
What Is the Purpose of This Form?
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.
Privacy Act Notice
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 Coordination Division, Office of Policy and Strategy, 20 Massachusetts
Avenue, NW, Washington, DC 20529-2140, OMB No. 1615-0008. Do not mail your completed Form G-325A to this address.
Complete this biographical information form and include it with the application or petition you are submitting to U.S. Citizenship and
Immigration Services (USCIS).

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