2024年5月26日发(作者：申屠苑博)

元器件交易网

U.S. Department of Justice

Immigration and Naturalization Service

FORM G-325A

OMB No. 1115-0066

BIOGRAPHIC INFORMATION

(Middle name)

MALE

FEMALE

BIRTHDATE (Mo.-Day-Yr.)NATIONALITYFILE NUMBER

A-

SOCIAL SECURITY NO.

(If any)

CITY AND COUNTRY OF RESIDENCE

(Family name)(First name)

ALL OTHER NAMES USED(Including names by previous marriages)CITY AND COUNTRY OF BIRTH

FAMILY NAME

FATHER

MOTHER (Maiden name)

HUSBAND(If none, so state)

OR

WIFE

FIRST NAMEDATE, CITY AND COUNTRY OF BIRTH (If known)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATECITY & COUNTRY OF BIRTHDATE OF MARRIAGEPLACE OF MARRIAGE

FORMER HUSBANDS OR WIVES (If none, so state)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATEDATE & PLACE OF MARRIAGEDATE AND PLACE OF TERMINATION OF MARRIAGE

APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST

FULL NAME AND ADDRESS OF EMPLOYEROCCUPATION

(SPECIFY)

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

Show below last occupation abroad if not shown above. (Include all information requested above.)

THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:

NATURALIZATION

OTHER (SPECIFY):

If your native alphabet is other than roman letters, write your name in your native alphabet here:

STATUS AS PERMANENT RESIDENT

SIGNATURE OF APPLICANTDATE

Are all copies legible?

X

Yes

PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.

APPLICANT:

COMPLETE THIS BOX (Family Name)

BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN

THE BOX OUTLINED BY HEAVY BORDER BELOW.

(Given name)(Middle name)(Alien registration number)

Form G-325 A (Rev. 10-1-82)

(1) Ident.

元器件交易网

U.S. Department of Justice

Immigration and Naturalization Service

FORM G-325A

OMB No. 1115-0066

BIOGRAPHIC INFORMATION

(Middle name)

MALE

FEMALE

BIRTHDATE (Mo.-Day-Yr.)NATIONALITYFILE NUMBER

A-

SOCIAL SECURITY NO.

(If any)

CITY AND COUNTRY OF RESIDENCE

(Family name)(First name)

ALL OTHER NAMES USED(Including names by previous marriages)CITY AND COUNTRY OF BIRTH

FAMILY NAME

FATHER

MOTHER (Maiden name)

HUSBAND(If none, so state)

OR

WIFE

FIRST NAMEDATE, CITY AND COUNTRY OF BIRTH (If known)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATECITY & COUNTRY OF BIRTHDATE OF MARRIAGEPLACE OF MARRIAGE

FORMER HUSBANDS OR WIVES (If none, so state)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATEDATE & PLACE OF MARRIAGEDATE AND PLACE OF TERMINATION OF MARRIAGE

APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST

FULL NAME AND ADDRESS OF EMPLOYEROCCUPATION

(SPECIFY)

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

Show below last occupation abroad if not shown above. (Include all information requested above.)

THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:

NATURALIZATION

OTHER (SPECIFY):

If your native alphabet is other than roman letters, write your name in your native alphabet here:

STATUS AS PERMANENT RESIDENT

SIGNATURE OF APPLICANTDATE

Are all copies legible?

X

Yes

PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.

APPLICANT:

COMPLETE THIS BOX (Family Name)

BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN

THE BOX OUTLINED BY HEAVY BORDER BELOW.

(Given name)(Middle name)(Alien registration number)

(OTHER AGENCY USE)INS USE (Office of Origin)

OFFICE CODE:

TYPE OF CASE:

DATE:

Form G-325 A (Rev. 10-1-82)

(2) Rec Br.

2024年5月26日发(作者：申屠苑博)

元器件交易网

U.S. Department of Justice

Immigration and Naturalization Service

FORM G-325A

OMB No. 1115-0066

BIOGRAPHIC INFORMATION

(Middle name)

MALE

FEMALE

BIRTHDATE (Mo.-Day-Yr.)NATIONALITYFILE NUMBER

A-

SOCIAL SECURITY NO.

(If any)

CITY AND COUNTRY OF RESIDENCE

(Family name)(First name)

ALL OTHER NAMES USED(Including names by previous marriages)CITY AND COUNTRY OF BIRTH

FAMILY NAME

FATHER

MOTHER (Maiden name)

HUSBAND(If none, so state)

OR

WIFE

FIRST NAMEDATE, CITY AND COUNTRY OF BIRTH (If known)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATECITY & COUNTRY OF BIRTHDATE OF MARRIAGEPLACE OF MARRIAGE

FORMER HUSBANDS OR WIVES (If none, so state)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATEDATE & PLACE OF MARRIAGEDATE AND PLACE OF TERMINATION OF MARRIAGE

APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST

FULL NAME AND ADDRESS OF EMPLOYEROCCUPATION

(SPECIFY)

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

Show below last occupation abroad if not shown above. (Include all information requested above.)

THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:

NATURALIZATION

OTHER (SPECIFY):

If your native alphabet is other than roman letters, write your name in your native alphabet here:

STATUS AS PERMANENT RESIDENT

SIGNATURE OF APPLICANTDATE

Are all copies legible?

X

Yes

PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.

APPLICANT:

COMPLETE THIS BOX (Family Name)

BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN

THE BOX OUTLINED BY HEAVY BORDER BELOW.

(Given name)(Middle name)(Alien registration number)

Form G-325 A (Rev. 10-1-82)

(1) Ident.

元器件交易网

U.S. Department of Justice

Immigration and Naturalization Service

FORM G-325A

OMB No. 1115-0066

BIOGRAPHIC INFORMATION

(Middle name)

MALE

FEMALE

BIRTHDATE (Mo.-Day-Yr.)NATIONALITYFILE NUMBER

A-

SOCIAL SECURITY NO.

(If any)

CITY AND COUNTRY OF RESIDENCE

(Family name)(First name)

ALL OTHER NAMES USED(Including names by previous marriages)CITY AND COUNTRY OF BIRTH

FAMILY NAME

FATHER

MOTHER (Maiden name)

HUSBAND(If none, so state)

OR

WIFE

FIRST NAMEDATE, CITY AND COUNTRY OF BIRTH (If known)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATECITY & COUNTRY OF BIRTHDATE OF MARRIAGEPLACE OF MARRIAGE

FORMER HUSBANDS OR WIVES (If none, so state)

FAMILY NAME

(For wife, give maiden name)

FIRST NAMEBIRTHDATEDATE & PLACE OF MARRIAGEDATE AND PLACE OF TERMINATION OF MARRIAGE

APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR

STREET AND NUMBERCITYPROVINCE OR STATECOUNTRY

FROM

MONTHYEARMONTH

TO

YEAR

APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST

FULL NAME AND ADDRESS OF EMPLOYEROCCUPATION

(SPECIFY)

FROM

MONTHYEARMONTH

TO

YEAR

PRESENT TIME

Show below last occupation abroad if not shown above. (Include all information requested above.)

THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:

NATURALIZATION

OTHER (SPECIFY):

If your native alphabet is other than roman letters, write your name in your native alphabet here:

STATUS AS PERMANENT RESIDENT

SIGNATURE OF APPLICANTDATE

Are all copies legible?

X

Yes

PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.

APPLICANT:

COMPLETE THIS BOX (Family Name)

BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN

THE BOX OUTLINED BY HEAVY BORDER BELOW.

(Given name)(Middle name)(Alien registration number)

(OTHER AGENCY USE)INS USE (Office of Origin)

OFFICE CODE:

TYPE OF CASE:

DATE:

Form G-325 A (Rev. 10-1-82)

(2) Rec Br.