Form I-129f - Petition For Alien Fiance(E)
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3OMB No. 1615-0001; Expires 02/29/2012
I-129F, Petition
Department of Homeland Security
U.S. Citizenship and Immigration Services
for Alien Fiancé(e)
Do not write in these blocks.
For USCIS Use Only
Case ID #
Action Block
Fee Stamp
A #
G-28 #
AMCON:
The petition is approved for status
under Section 101(a)(5)(k). It is
Personal Interview
Previously Forwarded
valid for four months from the date
Document Check
Field Investigation
of action.
Remarks:
Part A.
Information about you.
Part B.
Information about your alien fiancé(e).
Start Here.
(First)
(First)
1. Name
(Middle)
1. Name
(Middle)
(Family name in CAPS)
(Family name in CAPS)
Apt. #
Apt. #
2. Address (Number and Street)
2. Address (Number and Street)
(Town or City)
(State or Country)
(Zip/Postal Code)
(Town or City)
(State or Country)
(Zip/Postal Code)
3a. Place of Birth (Town or City)
(State/Country)
(State/Country)
3. Place of Birth (Town or City)
3b. Country of Citizenship
4. Date of Birth (mm/dd/yyyy)
5. Gender
Male
Female
4. Date of Birth (mm/dd/yyyy)
5. Gender
6. Marital Status
Male
Female
Married
Single
Widowed
Divorced
6. Marital Status
7. Other Names Used (including maiden name)
Married
Single
Widowed
Divorced
7. Other Names Used (including maiden name)
8a. U.S. Social Security Number
8b. A# (if any)
8. U.S. Social Security #
9. A# (if any)
9. Names of Prior Spouses
Date(s) Marriage(s) Ended
10. Names of Prior Spouses
Date(s) Marriage(s) Ended
10. My citizenship was acquired through (check one)
Birth in the U.S.
Naturalization
11. Has your fiancé(e) ever been in the U.S.?
Give number of certificate, date and place it was issued.
Yes
No
12. If your fiancé(e) is currently in the U.S., complete the
following:
Parents
He or she last arrived as a:(visitor, student, exchange alien,
Have you obtained a certificate of citizenship in your name?
crewman, stowaway, temporary worker, without inspection,
Yes
No
etc.)
If "Yes," give certificate number, date and place it was issued.
11. Have you ever filed for this or any other alien fiancé(e)
Arrival/Departure Record (I-94) Number
or husband/wife before?
Yes
No
Date authorized stay expired, or
Date of Arrival
If "Yes," give name of all aliens, place and date of filing,
(mm/dd/yy)
will expire as shown on I-94 or I-95
A# and result. (Attached additional sheets as necessary.)
RESUBMITTED
INITIAL RECEIPT
RELOCATED: Rec'd.
Sent
COMPLETED: Appv'd.
Denied
Ret'd.
Form I-129F (Rev. 11/23/10) Y
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