Part 2. Information About Your Alien Fiancé(e) (continued)
Complete the following for all children of your alien
12.
U.S. Social Security Number (if any)
fiancé(e) (if any).
►
Child 1 of Alien Fiancé(e)
16.a. Family Name
Name of Prior Spouse 1
(Last Name)
13.a. Family Name
16.b. Given Name
(Last Name)
(First Name)
13.b. Given Name
(First Name)
16.c.
Middle Name
13.c. Middle Name
17.
Country of Birth
13.d. Date Marriage Ended
(mm/dd/yyyy) ►
(mm/dd/yyyy) ►
18.
Date of Birth
19.a. Street Number
Name of Prior Spouse 2
and Name
14.a. Family Name
(Last Name)
19.b. Apt.
Ste.
Flr.
14.b. Given Name
(First Name)
19.c. City or Town
14.c. Middle Name
19.d. State
19.e. Zip Code
14.d. Date Marriage Ended
19.f. Postal Code
(mm/dd/yyyy) ►
19.g. Province
15.
Has your fiancé(e) ever been in
Yes
No
the United States?
19.h. Country
If your fiancé(e) is currently in the United States, complete
the following:
Child 2 of Alien Fiancé(e)
15.a.
He or she last arrived as a: (visitor, student, exchange
20.a. Family Name
alien, crewman, stowaway, temporary worker, without
(Last Name)
inspection, etc.)
20.b. Given Name
(First Name)
20.c. Middle Name
15.b. I-94 Arrival/Departure Record Number
►
21.
Country of Birth
►
15.c.
Date of Arrival
(mm/dd/yyyy)
(mm/dd/yyyy) ►
22.
Date of Birth
15.d.
Date authorized stay expired or will expire as shown on
I-94 or I-95.
23.a.
Street Number
►
(mm/dd/yyyy)
and Name
15.e.
Passport Number
23.b.
Apt.
Ste.
Flr.
15.f.
Travel Document Number
23.c. City or Town
15.g. Country of Issuance for Passport or Travel Document
23.d. State
23.e. Zip Code
23.f. Postal Code
15.h. Expiration Date for Passport or Travel Document
23.g. Province
(mm/dd/yyyy) ►
23.h. Country
Form I-129F 06/13/13 N
Page 3 of 6