Form I-130 - Petition For Alien Relative Page 6
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12Part 4. Information About Beneficiary
24.
Date Marriage Ended (mm/dd/yyyy)
(continued)
Information About Beneficiary's Family
15.
Mobile Telephone Number (if any)
Provide information about the beneficiary's spouse and
children.
16.
Email Address (if any)
Person 1
25.a. Family Name
(Last Name)
Beneficiary's Marital Information
25.b. Given Name
(First Name)
17.
How many times has the beneficiary been married?
►
25.c. Middle Name
18.
Current Marital Status
26.
Relationship
Single, Never Married
Married
Divorced
27.
Date of Birth (mm/dd/yyyy)
Widowed
Separated
Annulled
28.
Country of Birth
19.
Date of Current Marriage (if currently married)
(mm/dd/yyyy)
Person 2
Place of Beneficiary's Current Marriage
(if married)
29.a. Family Name
(Last Name)
20.a.
City or Town
29.b. Given Name
(First Name)
20.b.
State
29.c. Middle Name
20.c.
Province
30.
Relationship
20.d.
Country
31.
Date of Birth (mm/dd/yyyy)
32.
Country of Birth
Names of Beneficiary's Spouses (if any)
Provide information on the beneficiary's current spouse (if
Person 3
currently married) first and then list all the beneficiary's prior
spouses (if any).
33.a.
Family Name
(Last Name)
Spouse 1
33.b.
Given Name
21.a. Family Name
(First Name)
(Last Name)
33.c.
Middle Name
21.b. Given Name
(First Name)
34.
Relationship
21.c. Middle Name
35.
Date of Birth (mm/dd/yyyy)
22.
Date Marriage Ended (mm/dd/yyyy)
36.
Country of Birth
Spouse 2
23.a. Family Name
(Last Name)
23.b. Given Name
(First Name)
23.c. Middle Name
Form I-130 02/27/17 N
Page 6 of 12
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