U.S. Department of Justice
Immigration and Naturalization Service
FORM G-325A
OMB No. 1115-0066
BIOGRAPHIC INFORMATION
(Middle name)
MALE
FEMALE
BIRTHDATE (Mo.-Day-Yr.)
NATIONALITY
FILE NUMBER
A-
SOCIAL SECURITY NO.
(If any)
CITY AND COUNTRY OF RESIDENCE
(Family name)
(First name)
ALL OTHER NAMES USED
(Including names by previous marriages)
CITY AND COUNTRY OF BIRTH
FAMILY NAME
FATHER
MOTHER (Maiden name)
HUSBAND(If none, so state)
OR
WIFE
FIRST NAME
DATE, CITY AND COUNTRY OF BIRTH (If known)
FAMILY NAME
(For wife, give maiden name)
FIRST NAME
BIRTHDATE
CITY & COUNTRY OF BIRTH
DATE OF MARRIAGE
PLACE OF MARRIAGE
FORMER HUSBANDS OR WIVES (If none, so state)
FAMILY NAME
(For wife, give maiden name)
FIRST NAME
BIRTHDATE
DATE & PLACE OF MARRIAGE
DATE AND PLACE OF TERMINATION OF MARRIAGE
APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST
STREET AND NUMBER
CITY
PROVINCE OR STATE
COUNTRY
FROM
MONTH
YEAR
MONTH
TO
YEAR
PRESENT TIME
APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR
STREET AND NUMBER
CITY
PROVINCE OR STATE
COUNTRY
FROM
MONTH
YEAR
MONTH
TO
YEAR
APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST
FULL NAME AND ADDRESS OF EMPLOYER
OCCUPATION (SPECIFY)
FROM
MONTH
YEAR
MONTH
TO
YEAR
PRESENT TIME
Show below last occupation abroad if not shown above. (Include all information requested above.)
THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:
NATURALIZATION
OTHER (SPECIFY):
If your native alphabet is other than roman letters, write your name in your native alphabet here:
SIGNATURE OF APPLICANT
DATE
$
STATUS AS PERMANENT RESIDENT
Are all copies legible?
X
$
Yes
PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.
APPLICANT:
COMPLETE THIS BOX (Family Name)
BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN
THE BOX OUTLINED BY HEAVY BORDER BELOW.
(Given name)
(Middle name)
(Alien registration number)
Form G-325 A (Rev. 10-1-82)
(1) Ident.
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