G325 반도체 회로 부품 판매점
BIOGRAPHIC INFORMATION
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 ETC |
U.S. Department of Justice
Immigration and Naturalization Service
FORM G-325A
BIOGRAPHIC INFORMATION
OMB No. 1115-0066
(Family name)
(First name)
(Middle name)
ALL OTHER NAMES USED (Including names by previous marriages)
MALE BIRTHDATE (Mo.-Day-Yr.)
FEMALE
CITY AND COUNTRY OF BIRTH
NATIONALITY
FILE NUMBER
A-
SOCIAL SECURITY NO.
(If any)
FAMILY NAME
FIRST NAME DATE, CITY AND COUNTRY OF BIRTH (If known)
CITY AND COUNTRY OF RESIDENCE
FATHER
MOTHER (Maiden name)
HUSBAND(If none, so state)
OR
WIFE
FAMILY NAME
(For wife, give maiden name)
FIRST NAME BIRTHDATE CITY & COUNTRY OF BIRTH
DATE OF MARRIAGE PLACE OF MARRIAGE
FORMER HUSBANDS OR WIVES (If none, so state)
FAMILY NAME (For wife, give maiden name)
FIRST NAME
BIRTHDATE
DATE & PLACE OF MARRIAGE
DATE AND PLACE OF TERMINATION OF MARRIAGE
APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST
STREET AND NUMBER
CITY
PROVINCE OR STATE
COUNTRY
FROM
MONTH
YEAR
TO
MONTH
YEAR
PRESENT TIME
APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR
STREET AND NUMBER
CITY
PROVINCE OR STATE
COUNTRY
APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST
FULL NAME AND ADDRESS OF EMPLOYER
OCCUPATION (SPECIFY)
FROM
MONTH
YEAR
TO
MONTH
YEAR
FROM
MONTH
YEAR
TO
MONTH
YEAR
PRESENT TIME
Show below last occupation abroad if not shown above. (Include all information requested above.)
THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:
NATURALIZATION
$ STATUS AS PERMANENT RESIDENT
OTHER (SPECIFY):
Are all copies legible?
$X Yes
SIGNATURE OF APPLICANT
DATE
If your native alphabet is other than roman letters, write your name in your native alphabet here:
PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.
APPLICANT: BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN
THE BOX OUTLINED BY HEAVY BORDER BELOW.
COMPLETE THIS BOX (Family Name)
(Given name)
(Middle name)
(Alien registration number)
Form G-325 A (Rev. 10-1-82)
(1) Ident.
U.S. Department of Justice
Immigration and Naturalization Service
FORM G-325A
BIOGRAPHIC INFORMATION
OMB No. 1115-0066
(Family name)
(First name)
(Middle name)
ALL OTHER NAMES USED (Including names by previous marriages)
MALE BIRTHDATE (Mo.-Day-Yr.)
FEMALE
CITY AND COUNTRY OF BIRTH
NATIONALITY
FILE NUMBER
A-
SOCIAL SECURITY NO.
(If any)
FAMILY NAME
FIRST NAME DATE, CITY AND COUNTRY OF BIRTH (If known)
CITY AND COUNTRY OF RESIDENCE
FATHER
MOTHER (Maiden name)
HUSBAND(If none, so state)
OR
WIFE
FAMILY NAME
(For wife, give maiden name)
FIRST NAME BIRTHDATE CITY & COUNTRY OF BIRTH
DATE OF MARRIAGE PLACE OF MARRIAGE
FORMER HUSBANDS OR WIVES (If none, so state)
FAMILY NAME (For wife, give maiden name)
FIRST NAME
BIRTHDATE
DATE & PLACE OF MARRIAGE
DATE AND PLACE OF TERMINATION OF MARRIAGE
APPLICANT'S RESIDENCE LAST FIVE YEARS, LIST PRESENT ADDRESS FIRST
STREET AND NUMBER
CITY
PROVINCE OR STATE
COUNTRY
FROM
MONTH
YEAR
TO
MONTH
YEAR
PRESENT TIME
APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR
STREET AND NUMBER
CITY
PROVINCE OR STATE
COUNTRY
APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE.) LIST PRESENT EMPLOYMENT FIRST
FULL NAME AND ADDRESS OF EMPLOYER
OCCUPATION (SPECIFY)
FROM
MONTH
YEAR
TO
MONTH
YEAR
FROM
MONTH
YEAR
TO
MONTH
YEAR
PRESENT TIME
Show below last occupation abroad if not shown above. (Include all information requested above.)
THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR:
NATURALIZATION
$ STATUS AS PERMANENT RESIDENT
OTHER (SPECIFY):
Are all copies legible?
$X Yes
SIGNATURE OF APPLICANT
DATE
If your native alphabet is other than roman letters, write your name in your native alphabet here:
PENALTIES: SEVERE PENALTIES ARE PROVIDED BY LAW FOR KNOWINGLY AND WILLFULLY FALSIFYING OR CONCEALING A MATERIAL FACT.
APPLICANT: BE SURE TO PUT YOUR NAME AND ALIEN REGISTRATION NUMBER IN
THE BOX OUTLINED BY HEAVY BORDER BELOW.
COMPLETE THIS BOX (Family Name)
(Given name)
(Middle name)
(Alien registration number)
(OTHER AGENCY USE)
INS USE (Office of Origin)
OFFICE CODE:
TYPE OF CASE:
DATE:
Form G-325 A (Rev. 10-1-82)
(2) Rec Br.
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