OMB No. 1615-0008; Expires 08/31/2012
Department of Homeland Security
G-325C, Biographic Information
U.S. Citizenship and Immigration Services
(First Name)
Date of Birth (mm/dd/yyyy)
Citizenship/Nationality
File Number
(Family Name)
(Middle Name)
Male
Female
A
City and Country of Birth
All Other Names Used (include names by previous marriages)
U.S. Social Security # (if any)
Family Name
First Name
City and Country of Birth
City and Country of Residence
Date of Birth
(mm/dd/yyyy)
(if known)
Father
Mother
(Maiden Name)
Current Husband or Wife (If none, so state)
First Name
Date of Birth
City and Country of Birth
Date of Marriage
Place of Marriage
Family Name (For wife, give maiden name)
(mm/dd/yyyy)
Former Husbands or Wives (If none, so state)
First Name
Date of Birth
Date of Marriage
Place of Marriage
Date (mm/dd/yyyy) and Place of Termination of Marriage
Family Name (For wife, give maiden name)
(mm/dd/yyyy)
(mm/dd/yyyy)
Applicant's residence last 5 years. List present address first.
From
To
Street and Number
City
Province or State
Country
Month
Year
Month
Year
Present Time
Applicant's employment last 5 years. (If none, so state.) List present employment first.
From
To
Full Name and Address of Employer
Occupation (Specify)
Month
Year
Month
Year
Present Time
Applicant for
If your native alphabet is in other than Roman letters, write your name in your native alphabet below:
Refugee Status
Penalties: Severe penalties are provided by law for knowingly
and willfully falsifying or concealing a material fact.
Date
Signature of Applicant
Applicant:
Type your name and Alien Registration Number in the box outlined by heavy border below.
(Middle Name)
(Given Name)
(Alien Registration Number)
Complete This Box (Family Name)
A
Form G-325C (Rev. 08/08/11) Y