OMB No. 1615-0008; Expires 02/28/2015
Department of Homeland Security
G-325A, Biographic Information
U.S. Citizenship and Immigration Services
Date of Birth
Citizenship/Nationality
File Number
Family Name
First Name
Middle Name
Male
(mm/dd/yyyy)
Female
A
U.S. Social Security No. (if any)
All Other Names Used (include names by previous marriages)
City and Country of Birth
Date of Birth
City, and Country of Birth
Family Name
First Name
City and Country of Residence
(mm/dd/yyyy)
(if known)
Father
Mother
(Maiden Name)
Current Husband or Wife (If none, so state)
Date of Birth
First Name
City and Country of Birth
Date of Marriage Place of Marriage
Family Name (For wife, give maiden name)
(mm/dd/yyyy)
Former Husbands or Wives (If none, so state)
Date of Birth
Date and Place of Termination of
Date and Place of Marriage
First Name
Family Name (For wife, give maiden name)
(mm/dd/yyyy)
Marriage
Applicant's residence last five years. List present address first.
From
To
Street Name and Number
City
Province or State
Country
Month
Year
Month
Year
Present Time
Applicant's last address outside the United States of more than 1 year.
From
To
Street Name and Number
City
Province or State
Country
Month
Year
Month
Year
Applicant's employment last five years. (If none, so state.) List present employment first.
From
To
Full Name and Address of Employer
Occupation (Specify)
Month
Year
Month
Year
Present Time
Last occupation abroad if not shown above. (Include all information requested above.)
This form is submitted in connection with an application for:
Date
Signature of Applicant
Other (Specify):
Naturalization
Status as Permanent Resident
If your native alphabet is in other than Roman letters, write your name in your native alphabet below:
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.
Complete This Box (Family Name)
(Alien Registration Number)
(Given Name)
(Middle Name)
A
Form G-325A (Rev. 02/07/13) Y