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