法律訊問

Information About You

First Name:

Middle Name:
Last Name:
Other names used including maiden names:
Gender:
M
F

Current Address in U.S.
Number & Street :
City:
State:
Zip:
Last Address Outside of U.S.
Number & Street :
City:
State/Province:
Postal:
Country:

Home Phone:

Hours we can call:

Fax. Number:

Work Phone:

Hours we can call:

Cell Phone / Pager:

Social Security No.
Citizenship:

Date & Place of Birth

Date of Birth (dd/mm/yyyy):
  

City or Town:

State or Province:

Country:

Passport Information

Passport Country:

Passport Number:

Expiry date (dd/mm/yyyy):
 


What type of immigration assistance are you seeking?

 

Family Information
Spouse:
In U.S.      Outside U.S.      Not Married
Spouse's First Name:

Spouse's Middle Name:

Spouse's Last Name

Other names used (including maiden name):

Current Address (put "same" if you live together):


Date of Birth (dd/mm/yyyy)
Place of Birth
Social Security No.
Date of Marriage (dd/mm/yyyy)
Place of Marriage:
Alien "A" No.
Citizenship:
Immigration Status:
Expiry Date(dd/mm/yyyy):
Applying with you?
   
     

Children:
Number of children:

Child #1:      
Name:
Gender:
Date of Birth (dd/mm/yyyy)
Country of Birth
Citizenship
Applying /w you

Immigration Status
Expiry Date (dd/mm/yyyy)

Child #2:
Name:
Gender:
Date of Birth (dd/mm/yyyy)
Country of Birth
Citizenship
Applying /w you

Immigration Status
Expiry Date (dd/mm/yyyy)

Child #3:      
Name:
Gender:
Date of Birth (dd/mm/yyyy)
Country of Birth
Citizenship
Applying /w you

Immigration Status
Expiry Date (dd/mm/yyyy)

Child #4:      
Name:
Gender:
Date of Birth (dd/mm/yyyy)
Country of Birth
Citizenship
Applying /w you

Immigration Status
Expiry Date (dd/mm/yyyy)

Child #5:      
Name:
Gender:
Date of Birth (dd/mm/yyyy)
Country of Birth
Citizenship
Applying /w you

Immigration Status
Expiry Date (dd/mm/yyyy)

Child #6:      
Name:
Gender:
Date of Birth (dd/mm/yyyy)
Country of Birth
Citizenship
Applying /w you

Immigration Status
Expiry Date (dd/mm/yyyy)

Parents
 
Father's name
Country of Birth
Citizenship
Immigration Status
 
Mother's name
Country of Birth
Citizenship
Immigration Status
 
Father-in-law's name
Country of Birth
Citizenship
Immigration Status
 
Mother-in-law's name
Country of Birth
Citizenship
Immigration Status

Previous Marriages

Check here if not applicable  



Name

Date of
Marriage

Country of
Marriage


Kids?
Reason for
Termination
of Marriage
Date of
Termination
of Marriage
Country of
Termination
of Marriage
Your's:
Spouse's:

 

IMMIGRATION HISTORY

Current Immigration Status:
Date Status Expires:
Alien ("A") Number:
Date of First Entry into U.S.:
Last Entry into U.S.:
I-94 Number:
Check every type of immigration status that you have ever held and provide the dates:
Immigration Status Date(s) Immigration Status Date(s)
B Visitor: E Trader/Investor:
F Student: H-1B Professional:
J Exchange Visitor: K Fiancee:
L Manager: O Outstanding Ability:
T/N Canadian Worker: Other:
Check each one that you or your spouse have ever applied for or been the beneficiary of:
Y(you) or
S(Spouse)

Date Filed

 Sponsor

 Attorney

 Result
Green Card
Immigrant petition
Labor certification
Asylum
Amnesty

Have you or your spouse ever had any immigration problems? In particular, have you or your spouse ever been under removal, deportation, or exclusion proceedings? Please describe in detail:

 

EMPLOYMENT HISTORY
Current Employer (or Employer Petitioning on Your Behalf)
Employer:
Address:
Job Title:     Salary:
Date of Hire: Are you related to your employer?
May we contact your employer?
If yes, whom may we contact:
Name
Title
Company
Phone

 

Employment in Last Five Years (anywhere in the world)

Job Title Employer Country Duration
JOB QUALIFICATIONS

List the professional licenses or certifications you possess, from any state or country:

How many years of experience do you have in your position or field?

 

EDUCATIONAL BACKGROUND
Please list all your education anywhere in the world:

Level

School/Country

Degree & Major

Number of
Years


Graduate?
College/University:
College/University:
Other Schooling:

 

OTHER INFORMATION
Have you ever been arrested or convicted of a crime anywhere in the world (even if the conviction was expunged or removed from your record) or have you ever had any problems with the police?
If yes, please explain in detail:
Have you ever claimed to be a citizen of the United States or have you ever used another name
for immigration purposes or for any other reason?
If yes, please explain in Detail:
Have you ever been denied a visa to come to the United States?
If yes, when and what kind of visa:
During what years, if any, have you filed an Income Tax Return with the IRS?
If you ever had an Employment Authorization Card issued by the INS, give number(s) and validity dates:
Is there anything, not already covered in this form, that you feel we should know?

 

STATEMENT OF TRUTHFULNESS

"By pressing the Submit button below,
I certify that all of the information contained in this form is true
and correct to the best of my knowledge."



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Type today's date

 

 

 

 

 

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