Form I-129f - Petition For Alien Fiance(E) Page 4
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13Residence 2
Part 1. Information About You (continued)
51.a. State
42.a.
Certificate Number
51.b.
Country
42.b.
Place of Issuance
Part 2. Information About Your Beneficiary
42.c.
Date of Issuance (mm/dd/yyyy)
1.a. Family Name
(Last Name)
Additional Information
1.b. Given Name
(First Name)
43.
Have you ever filed Form I-129F for any other
beneficiary?
Yes
No
1.c. Middle Name
If you answered "Yes" to Item Number 43., provide the
2.
A-Number (if any)
responses to Item Number 44. - 46. for each previous
►
A-
beneficiary. If you need to provide information for more than
one beneficiary, use the space provided in Part 8. Additional
3.
U.S. Social Security Number (if any)
Information.
►
►
44.
A-Number (if any)
A-
4.
Date of Birth (mm/dd/yyyy)
45.a. Family Name
(Last Name)
5.
Gender
Male
Female
45.b. Given Name
(First Name)
6.
Marital Status
45.c. Middle Name
Single
Married
Divorced
Widowed
46.
Date of Filing (mm/dd/yyyy)
7.
City/Town/Village of Birth
47.
What action did USCIS take on Form I-129F (for
example, approved, denied, revoked)?
8.
Country of Birth
48.
Do you have any children under 18 years of age?
9.
Country of Citizenship or Nationality
Yes
No
If you answered "Yes" to Item Number 48., provide the ages for
your children under 18 years of age in Item Numbers 49.a. - 49.b.
Other Names Used
Provide the ages for your children under 18 years of age. If you
Provide all other names you have ever used, including aliases,
need extra space to complete this section, use the space
maiden name, and nicknames. If you need extra space to
provided in Part 8. Additional Information.
complete this section, use the space provided in Part 8.
Additional Information.
49.a. Age
10.a. Family Name
49.b. Age
(Last Name)
10.b. Given Name
(First Name)
Provide all U.S. states and foreign countries in which you have
resided since your 18th birthday.
10.c. Middle Name
Residence 1
50.a. State
50.b.
Country
Form I-129F 04/10/17 N
Page 4 of 13
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