Part 1. Information About You, the Petitioner
Part 2. Information About Your Alien Relative, the
(Continued)
Beneficiary (Continued)
Other Names Used (Including maiden name):
Other Names Used (Including maiden name):
If married, Name of Spouse, Date (mm/dd/yyyy), and Place of
If married, Name of Spouse, Date (mm/dd/yyyy), and Place of
Present Marriage:
Present Marriage:
If previously married, names of prior spouses:
If previously married, names of prior spouses:
Dates (mm/dd/yyyy) and Places Previous Marriages Ended:
Dates (mm/dd/yyyy) and Places Previous Marriages Ended: Please
Please provide documentation indicating how marriages ended
provide documentation indicating how marriages ended (e.g.,
(e.g., death certificate, divorce certificate, etc.):
death certificate, divorce certificate, etc.):
Date (mm/dd/yyyy) and Place Asylee Status was granted in the
Beneficiary is currently in the United States.
United States
Beneficiary is outside the United States and will apply for
travel authorization at a USCIS Office or a U.S. Embassy or
consulate in:
OR
Date (mm/dd/yyyy) and Place you received your approval for
City and Country
Refugee Status while living abroad
To Be Completed By
Attorney or Representative, if any.
If You Were Approved for Refugee Status, Date (mm/dd/yyyy)
Fill in box if G-28 is attached to represent the petitioner.
and Place Admitted to the United States as a Refugee:
Volag Number:
Attorney State License
Number:
Part 2. Information About Your Alien Relative, the Beneficiary
(Continued)
Name and mailing address of the beneficiary written in the language of the country where he or she now resides:
Given Name:
Middle Name:
Family Name:
Address - C/O:
Apt. Number:
Street Number and Name:
City/State or Province:
Zip/Postal Code:
Country:
Check the box, a. through d., that applies:
a.
The beneficiary has never been in the United States
b.
The beneficiary is now in immigration court proceedings in the
United States Where?
The beneficiary has never been in immigration court proceedings in the United States
c.
d.
The beneficiary is not now in immigration court proceedings in the
United States, but has been in the past. Where?
What is the beneficiary's native language?
Is the beneficiary fluent in English? What other languages does the beneficiary speak
fluently:
No
Yes
Form I-730 (05/30/17) N Page 2