Form I-929 - Petition For Qualifying Family Member Of A U-1 Nonimmigrant Page 3

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Part 1. Information About You (Cont'd)
Part 2. Information About Your Alien Relative (Cont'd)
Number of marriages including current marriage:
Number of marriages including current marriage:
List any previous marriage(s) beginning with the most recent.
List any previous marriage(s) beginning with the most recent.
If you need more space, attach an additional sheet of paper.
If you need more space, attach an additional sheet of paper.
Prior Spouse's Name:
Prior Spouse's Name:
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Date of Marriage
Middle Name
Date of Marriage
Place of Marriage
Place of Marriage
Date of Termination
Place of Termination
Date of Termination
Place of Termination
Reason for Termination:
Reason for Termination:
Divorce
Death
Annulment
Divorce
Death
Annulment
Other
Other
Prior Spouse's Name:
Prior Spouse's Name:
Last Name (Family Name)
First Name (Given Name)
Last Name (Family Name)
First Name (Given Name)
Middle Name
Date of Marriage
Middle Name
Date of Marriage
Place of Marriage
Place of Marriage
Date of Termination
Place of Termination
Date of Termination
Place of Termination
Reason for Termination:
Reason for Termination:
Divorce
Death
Annulment
Divorce
Death
Annulment
Other
Other
Form I-929 (10/04/11) Y Page 3

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