Form G-325B (Rev. 02/07/13) Y
Street Name and Number
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 Name First Name City 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 Name City and Country of Birth Date of Marriage
(mm/dd/yyyy)
Place of Marriage
Former Husbands or Wives (If none, so state)
Family Name (For wife, give maiden name)
First Name
Place of Marriage
Date of Marriage
(mm/dd/yyyy)
Date of Birth
(mm/dd/yyyy)
Applicant's residence last 5 years. List present address first.
To
To
To
From
From
From
City
Province or State
Country
Month
Month
Month
Year
Year
Year
Present Time
Street Name and Number
City
Country
Province or State
Applicant's employment last 5 years. (If none, so state.) List present employment first.
Full Name and Address of Employer
Occupation (specify)
Present Time
Last occupation abroad if not listed above. (Include all information requested above.)
This form is submitted in connection with an application for:
OMB No. 1615-0008; Expires 02/28/2015
Department of Homeland Security
U.S. Citizenship and Immigration Services
City and Country of Residence
Applicant's last address outside the United States of more than 1 year.
Form G-325B, Biographic Information
Citizenship/Nationality
Month
Month
Month
Year
Year
Year
If serving or ever served in the Armed Forces of the United States,
complete the following:
Branch of Service
Rank
Service Number
To Other Agency: Furnish on Page 2 of this form, or by attachment hereto, any derogatory
information that may be contained in your records concerning the above person for use in
connection with consideration of above application and return to U.S. Citizenship and
Immigration Services.
FOR USCIS USE ONLY (Office of Origin)
Office Code
Type of Case
Date
SY
RSC
C:Visa
R:Visa
ORM
FOR STATE
DEPARTMENT
USE
OSI
(USAF)
ONI
(USN)
MID
G-2
PROV.
MAR.
MIL
PERS
AIR
RESERVE
USAF
PERS
ARMY
PERS
SEE O.I. 328. 1 FOR
MAILING ADDRESS
(Other Agency)
(All Defense Checks)
STATE
(P.P.)
STATE
(S.Y.)
OTHER
RMR
SEE O.I. 105.4
FOR MAILING ADDRESS
Date of Birth
(mm/dd/yyyy)
Naturalization
Other (Specify):
Status as Permanent Resident
Male
Female
Date of Birth
(mm/dd/yyyy)
Date (mm/dd/yyyy) and Place of Termination of
Marriage
Form G-325B (Rev. 02/07/13) Y Page 2
Date:
Date of entry into service:
Date of separation:
Service number:
All arrests, convictions, disciplinary actions, court martial proceedings, and illegal or immoral conduct in which subject involved, including dates and
results thereof. (If none, write "None.")
Details of any oral or written statements, conduct, behavior, or associations of the subject that may indicate belief in, advocacy of or preference or
sympathy for Communism, or any other foreign ideology inconsistent with loyalty to the United States, or the form of Government of the United States
or attachment to the principles of the U.S. Constitution. (If none, write "None.")
Additional information or references.
I certify that the information here given concerning the person named is correct according to the records of the:
Name of Department or Organization:
Signature of Official:
Printed Name of Official:
By:
The records of this Department show the following with respect to the subject of your inquiry:
All organizations, clubs, or societies in the United States, or in any other country, of which subject was a member at any time, and dates thereof. (If
none, write "None.")
Instructions
Complete this biographical information form and include it with the application or petition you are submitting to U.S. Citizenship and
Immigration Services (USCIS).
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-325B (Rev. 02/07/13) Y Page 3
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 25
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-325B to this address.
USCIS will use the information you provide on this form to process your application or petition.