Other Information
Part 3. Information About Your Current or
Former Conditional Permanent Resident Spouse
9.
Current Spouse
(continued)
Former Conditional Permanent Resident Spouse
2.
Gender
Male
Female
10.
Date of Marriage (mm/dd/yyyy)
3.
Alien Registration Number (A-Number) (if any)
Date Marriage Terminated (if applicable)
11.
►
A-
(mm/dd/yyyy)
4.
USCIS Online Account Number (if any)
12.
Is this spouse currently living with you?
Yes
No
►
13.
Is this spouse applying with you?
Yes
No
5.
Date of Birth (mm/dd/yyyy)
14.
Current Immigration Status (for example, conditional
Other Names Used
permanent resident, tourist/visitor, entered without
inspection)
List all other names your current spouse or former conditional
permanent resident spouse has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
Is the current immigration status of your spouse or former
15.
complete this section, use the space provided in Part 12.
spouse based on your current immigration status?
Additional Information.
Yes
No
6.a. Family Name
(Last Name)
6.b. Given Name
Part 4. Information About Your Children
(First Name)
Provide the following information about your children.
6.c. Middle Name
Child 1
7.a. Family Name
1.a. Family Name
(Last Name)
(Last Name)
7.b. Given Name
1.b. Given Name
(First Name)
(First Name)
7.c. Middle Name
1.c. Middle Name
Physical Address
2.
Gender
Male
Female
Provide your current spouse or former conditional permanent
3.
Alien Registration Number (A-Number) (if any)
resident spouse's physical addresses for the last five years.
►
A-
Provide the present address first. If you need extra space to
complete this section, use the space provided in Part 12.
4.
USCIS Online Account Number (if any)
Additional Information.
►
8.a.
Street Number
and Name
5.
Date of Birth (mm/dd/yyyy)
8.b.
Apt.
Ste.
Flr.
Other Names Your Child Has Used
8.c.
City or Town
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
8.d.
State
8.e. ZIP Code
complete this section, use the space provided in Part 12.
Additional Information.
8.f.
Province
6.a. Family Name
8.g.
Postal Code
(Last Name)
6.b. Given Name
8.h.
Country
(First Name)
6.c. Middle Name
Form I-829 04/21/17 N
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