Form G-325B (Rev. 07/14/06)Y Page 3
Street and Number
(Family Name)
(First Name)
File Number
(Middle Name)
Birth Date (mm/dd/yyyy)
A
All Other Names Used (Including names by previous marriages)
U.S. Social Security # (if any)
City and Country of Birth
Family Name
First Name
Date, City and Country of Birth (If known)
Father
Mother
Husband or Wife (If none,
so state)
Family Name
First Name
City and Country of Birth Date of Marriage Place of Marriage
(For wife, give maiden name)
Former Husbands or Wives (If none, so state)
Family Name (For wife, give maiden name)
First Name
Date and Place of Termination of Marriage
Date and Place of MarriageBirth Date
(mm/dd/yyyy)
Applicant's residence last five years. List present address first.
To
From
City Province or State
Country
Month
Year
Present Time
ToFrom
Year
Street and Number City
Country
Month
Province or State
Applicant's employment last five years. (If none, so state.) List present employment first.
To
From
Full Name and Address of Employer
Occupation (Specify)
Month Year
Present Time
Show below last occupation abroad if not listed above. (Include all information requested above.)
This form is submitted in connection with an application for:
Naturalization
OMB No. 1615-0008; Expires 05/31/09
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 one year.
G-325B, Biographic Information
Citizenship/Nationality
Month
Year
Month
Year
Month
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: Please furnish on Pages 2 and 4 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.
USCIS USE (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)
Director,
United States Army Investigative
Records Repository
ATTN: ICIRR-A
Fort Meade, Maryland 20755
ATTENTION: Liaison Office
U.S. Citizenship and Immigration Services
MAIL TO:
STATE
(P.P.)
STATE
(S.Y.)
OTHER
RMR
Status as Permanent Resident
Other (Specify):
SEE O.I. 105.4
FOR MAILING ADDRESS
Male
Female
See Instructions on Page 5
Birth Date
(mm/dd/yyyy)
(Maiden Name)