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参数资料
| 型号： | G325 |
| 厂商： | Electronic Theatre Controls, Inc. |
| 英文描述： | BIOGRAPHIC INFORMATION |
| 中文描述： | 生物信息 |
| 文件页数： | 3/4页 |
| 文件大小： | 193K |
| 代理商： | G325 |
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
HUOR
WIFE
FAMILY NAME
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)
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:
THE BOX OUTLINED BY HEAVY BORDER BELOW.
COMPLETE THIS BOX (Family Name)
(Given name)
APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST
APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR
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
BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN
(3) C.
(Middle name)
(Alien registration number)
(OTHER AGENCY USE)
INS USE (Office of Origin)
OFFICE CODE:
TYPE OF CASE:
DATE:
Form G-325 A (Rev. 10-1-82)
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