Form I-929 - Petition For Qualifying Family Member Of A U-1 Nonimmigrant Page 2

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Part 1. Information About You (Cont'd)
Part 2. Information About Your Alien Relative (Cont'd)
Country of Birth
Social Security Number
Country of Birth
Social Security Number
Country of Citizenship/Nationality
Country of Citizenship/Nationality
Gender: (Check one)
Gender: (Check one)
Male
Female
Male
Female
If you ever used other names, provide them below:
If alien relative ever used other names, provide them below:
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Middle Name
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Middle Name
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Middle Name
Marital Status: (Check one)
Marital Status: (Check one)
Single (Never Married)
Married
Single (Never Married)
Married
Divorced
Widowed
Divorced
Widowed
Spouse's Name:
Spouse's Name:
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Middle Name
Place of Marriage
Place of Marriage
Form I-929 (10/04/11) Y Page 2

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