Fillable G-325A, Biographic Information (Visa Pro)

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G-325A, Biographic Information (Visa Pro)

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Country of origin: US
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G-325A, Biographic Information
(for Deferred Action)
Family Name First Name
File Number
Citizenship/Nationality
Middle Name
Date of Birth
(mm/dd/yyyy)
A
OMB No. 1615-0008; Expires 09/30/2022
Department of Homeland Security
U.S. Citizenship and Immigration Services
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)
City and Country of Residence
Current Husband or Wife (If none, so state)
Family Name (For wife, give maiden name)
Date of Birth
(mm/dd/yyyy)
First Name
City and Country of Birth
Date of Marriage
Place of Marriage
Applicant's residence last five years. List present address first.
Street Name and Number City Province or State Country
From
Month Year
To
Month Year
Present Time
Applicant's last address outside the United States of more than 1 year.
Street Name and Number City Province or State Country
From
Month Year
To
Month Year
Full Name and Address of Employer Occupation (Specify)
From
Month Year
To
Month Year
Present Time
Applicant's employment last five 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:
Last occupation abroad if not shown above. (Include all information requested above.)
This form is submitted in connection with an application for:
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.
(Alien Registration Number)
Complete This Box (Family Name)
(Middle Name)(Given Name)
Date
Signature of Applicant
Naturalization
Other (Specify):
Status as Permanent Resident
Form G-325A (Rev. 09/17/19)
First Name
Date of Birth
(mm/dd/yyyy)
Date and Place of Marriage
Date and Place of Termination of
Marriage
Former Husbands or Wives (If none, so state)
Family Name (For wife, give maiden name)
Female
Male
Date of Birth
(mm/dd/yyyy)
A
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 TTY
(hearing impaired) call: 1-800-767-1833.
Form G-325A (Rev. 09/17/19) Page 2
What Is the Purpose of This Form?
PURPOSE: The primary purpose for providing the requested information on this application is to collect information to locate an
immigration record to determine eligibility for the benefit you are requesting.
DHS Privacy 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
2 hours and 9 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-325A 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).
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your
Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of your application.
ROUTINE USES: DHS may share the information you provide on this application and any additional requested evidence with other
Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in
the associated published system of records notices [DHS/USCIS/ICE/CBP-001 Alien File, Index, and National File Tracking System
and DHS/USCIS-007 Benefits Information System] and the published privacy impact assessment [DHS/USCIS/PIA-061 Benefit
Request Intake Process], which can be found at www.dhs.gov/privacy
. DHS may also share the information, as appropriate, for law
enforcement purposes or in the interest of national security.
AUTHORITIES: The information requested on this application, and the associated evidence, is collected pursuant to section 103 of
the Immigration and Nationality Act, 8 U.S.C. 1103 (a)(1).
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G-325A, Biographic Information (Visa Pro)

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Completed 29 July 2020

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