G-325C, Biographic Information
OMB No. 1615-0008; Expires 06/30/2017
Department of Homeland Security
U.S. Citizenship and Immigration Services
Applicant's residence last 5 years. List present address first.
Street Name and Number City Province or State Country
From
Month Year
To
Month Year
Present Time
Full Name and Address of Employer Occupation (specify)
From
Month Year
To
Month Year
Present Time
Applicant's employment last 5 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:
Applicant for Refugee
Status
Applicant: Type 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
Form G-325C (Rev. 06/01/15) Y
Penalties: Severe penalties are provided by law for knowingly and
willfully falsifying or concealing a material fact.
A
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 MarriageDate of Marriage
(mm/dd/yyyy)
Date of Birth
(mm/dd/yyyy)
City and Country of Residence
Citizenship/Nationality
Date of Birth
(mm/dd/yyyy)
Male
Female
Date of Birth
(mm/dd/yyyy)
Date (mm/dd/yyyy) and Place of Termination of
Marriage
