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Fillable Printable Form G-325C

Fillable Printable Form G-325C

Form G-325C

Form G-325C

G-325C, Biographic Information
OMB No. 1615-0008; Expires 06/30/2017
Department of Homeland Security
U.S. Citizenship and Immigration Services
Applicant's residence last 5 years. List present address first.
Street Name and NumberCityProvince or StateCountry
From
MonthYear
To
MonthYear
Present Time
Full Name and Address of EmployerOccupation (specify)
From
MonthYear
To
MonthYear
Present Time
Applicant's employment last 5 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:
Applicant for Refugee
Status
Applicant: Type 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
Form G-325C (Rev. 06/01/15) Y
Penalties: Severe penalties are provided by law for knowingly and
willfully falsifying or concealing a material fact.
A
Family Name
First Name
File Number
Middle Name
Date of Birth (mm/dd/yyyy)
A
All Other Names Used (include names by previous marriages)
U.S. Social Security No. (if any)
City and Country of Birth
Family NameFirst NameCity and Country of Birth
(if known)
Father
Mother
(Maiden Name)
Current Husband or Wife (If none, so state)
Family Name (For wife, give maiden name)
First NameCity and Country of BirthDate of Marriage
(mm/dd/yyyy)
Place of Marriage
Former Husbands or Wives (If none, so state)
Family Name (For wife, give maiden name)
First NamePlace of MarriageDate of Marriage
(mm/dd/yyyy)
Date of Birth
(mm/dd/yyyy)
City and Country of Residence
Citizenship/Nationality
Date of Birth
(mm/dd/yyyy)
Male
Female
Date of Birth
(mm/dd/yyyy)
Date (mm/dd/yyyy) and Place of Termination of
Marriage
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-325C (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-325C 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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