Form I-130 - Petition For Alien Relative Page 7
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1248.
Travel Document Number
Part 4. Information About Beneficiary
(continued)
49.
Country of Issuance for Passport or Travel Document
Person 4
37.a.
Family Name
(Last Name)
50.
Expiration Date for Passport or Travel Document
37.b.
Given Name
(mm/dd/yyyy)
(First Name)
37.c.
Middle Name
Beneficiary's Employment Information
38.
Relationship
Provide the beneficiary's current employment information (if
applicable), even if they are employed outside of the United
39.
Date of Birth (mm/dd/yyyy)
States. If the beneficiary is currently unemployed, type or print
40.
Country of Birth
"Unemployed" in Item Number 51.a.
51.a.
Name of Current Employer (if applicable)
Person 5
51.b.
Street Number
and Name
41.a. Family Name
(Last Name)
51.c.
Apt.
Ste.
Flr.
41.b. Given Name
(First Name)
51.d.
City or Town
41.c. Middle Name
51.e. State
51.f. ZIP Code
42.
Relationship
51.g. Province
43.
Date of Birth (mm/dd/yyyy)
51.h. Postal Code
44.
Country of Birth
51.i. Country
Beneficiary's Entry Information
52.
Date Employment Began (mm/dd/yyyy)
45.
Was the beneficiary EVER in the United States?
Yes
No
Additional Information About Beneficiary
If the beneficiary is currently in the United States, complete
Items Numbers 46.a. - 46.d.
53.
Was the beneficiary EVER in immigration proceedings?
46.a.
He or she arrived as a (Class of Admission):
Yes
No
54.
If you answered "Yes," select the type of proceedings and
provide the location and date of the proceedings.
46.b. Form I-94 Arrival-Departure Record Number
►
Removal
Exclusion/Deportation
Rescission
Other Judicial Proceedings
46.c.
Date of Arrival (mm/dd/yyyy)
55.a.
City or Town
46.d.
Date authorized stay expired, or will expire, as shown on
Form I-94 or Form I-95 (mm/dd/yyyy) or type or print
"D/S" for Duration of Status
55.b. State
56.
Date (mm/dd/yyyy)
47.
Passport Number
Form I-130 02/27/17 N
Page 7 of 12
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