OMB No. 1615-0008; Expires 06/30/2017 U.S. Citizenship and Immigration Services G-325A, Biographic Information
Department of Homeland Security
Family Name
First Name
Middle Name
Male
Female
Date of Birth
(mm/dd/yyyy)
Citizenship/Nationality
File Number
A
All Other Names Used (include names by previous marriages)
City and Country of Birth
U.S. Social Security No. (if any)
Family Name
Father
Mother (Maiden Name)
First Name
Date of Birth
(mm/dd/yyyy)
City, and Country of Birth
(if known)
City and Country of Residence
Current Husband or Wife (If none, so state) Family Name (For wife, give maiden name)
First Name
Date of Birth
(mm/dd/yyyy)
City and 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
Date of Birth
(mm/dd/yyyy)
Date and Place of Marriage
Date and Place of Termination of Marriage
Applicant's residence last five years. List present address first.
Applicant's last address outside the United States of more than 1 year.
Applicant's employment last five years. (If none, so state.) List present employment first.
Last occupation abroad if not shown above. (Include all information requested above.)
If your native alphabet is in other than Roman letters, write your name in your native alphabet below:
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.
Street Name and Number
City
Province or State
Country
From Month Year
Month
To
Year
Present Time
Street Name and Number
City
Province or State
Country
From Month Year
Month
To
Year
Full Name and Address of Employer
Occupation (Specify)
From Month Year
Month
To
Year
Present Time
This form is submitted in connection with an application for:
Naturalization Other (Specify): Status as Permanent Resident
Signature of Applicant Date
Complete This Box (Family Name) (Given Name) (Middle Name) (Alien Registration Number)
A
Form G-325A (Rev. 06/01/15) Y