Form I-129f - Petition For Alien Fiance(E) Page 8
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13Organization Name of IMB
58.
Part 2. Information About Your Beneficiary
(continued)
Website of IMB
59.
51.
Is your fiancé(e) related to you?
Yes
No
N/A, beneficiary is my spouse
52.
Provide the nature and degree of relationship (for example,
60.a. Street Number
and Name
third cousin or maternal uncle).
60.b.
Apt.
Ste.
Flr.
53.
Have you and your fiancé(e) met in person during the two
60.c. City or Town
years immediately before filing this petition?
Yes
No
N/A, beneficiary is my spouse
60.d.
Province
If you answered "Yes" to Item Number 53., describe the
60.e.
Postal Code
circumstances of your in-person meeting in Item Number 54.
Attach evidence to demonstrate that you were in each other's
60.f. Country
physical presence during the required two year period.
61.
Daytime Telephone Number
If you answered "No," explain your reasons for requesting an
exemption from the in person meeting requirement in Item
Number 54. and provide evidence that you should be exempt
from this requirement. Refer to Part 2., Item Numbers 53. - 54.
Consular Processing Information
of the Specific Instructions section of the Instructions for
additional information about the requirement to meet. If you
Your beneficiary will apply for a visa abroad at the U.S.
Embassy or U.S. Consulate at:
need extra space to complete this section, use the space
provided in Part 8. Additional Information.
62.a.
City or Town
54.
62.b. Country
Part 3. Other Information
Criminal Information
NOTE: These criminal information questions must be
International Marriage Broker (IMB) Information
answered even if your records were sealed, cleared, or if
55.
Did you meet your beneficiary through the services of an
anyone, including a judge, law enforcement officer, or attorney,
IMB?
told you that you no longer have a record. If you need extra
Yes
No
space to complete this section, use the space provided in Part 8.
If you answered "Yes" to Item Number 55., provide the IMB's
Additional Information.
contact information and Website information below. In
addition, attach a copy of the signed, written consent form the
1.
Have you EVER been subject to a temporary or
IMB obtained from your beneficiary authorizing your
permanent protection or restraining order (either civil or
beneficiary's personal contact information to be released to you.
criminal)?
Yes
No
56.
IMB's Name (if any)
Have you EVER been arrested or convicted of any of the
following crimes:
57.a. Family Name of IMB (Last Name)
2.a.
Domestic violence, sexual assault, child abuse, child
neglect, dating violence, elder abuse, stalking or an
attempt to commit any of these crimes? (See Part 3.
57.b.
Given Name of IMB (First Name)
Other Information, Item Numbers 1. - 3.c. of the
Instructions for the full definition of the term "domestic
violence.")
Yes
No
Form I-129F 04/10/17 N
Page 8 of 13
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