Form I-929 - Petition For Qualifying Family Member Of A U-1 Nonimmigrant Page 4
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7Part 1. Information About You (Cont'd)
Part 2. Information About Your Alien Relative (Cont'd)
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
(Check One):
Complete if your relative is in the United States
I am a Lawful Permanent Resident
Date of Admission
Place of Admission
I obtained my Lawful
Permanent Residence on:
Class of Admission
Date Authorized to Stay
My Form I-485 is currently pending
Receipt Number
Part 3. Information About Your Alien Relative's Children
Last Name (Family Name)
First Name (Given Name)
Middle Name
Date of Birth
Place of Birth
Biological Child
Stepchild
Adopted Child
Gender: (Check one)
Male
Female
Street Number and Name
Apt. Number
City
State/Province
Country
Postal/Zip Code
A-Number
Country of Birth
Name of Mother
Last Name (Family Name)
First Name (Given Name)
Middle Name
Name of Father
Last Name (Family Name)
First Name (Given Name)
Middle Name
Form I-929 (10/04/11) Y Page 4
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