The information sheet for the immigration petition (I-130) to
be filled out by the U.S. permanent resident is as follows:
- Last Name ________________ First Name ________________ Middle Name ___________
- Address:
_________________________________________________________________________
_________________________________________________________________________
- Place of Birth (town or city) ______________________ (country) _____________________
- Date of
Birth ________________
- Male ___ Female ___
- Marital
Status ___ (married) ___ (single) ___ (widowed ) ___ (divorced)
- Other
names used (including maiden name) ______________________________________
- Date and
place of present marriage, if married (date) ______________________________
(place) ___________________________________________________________________
- Social
security number _______________________ A#, if any _______________________
- Names
of prior husbands/wives _______________________________________________
Dates marriages ended _____________________________________________________
- Has your
spouse ever been in the U.S.? ___ yes ___ no
- If your
spouse is currently in the U.S., complete the following:
He or she last arrived as a _________________________ (visitor,
student, without
inspection, stowaway, etc.)
I-94 number ____________________________ Date arrived _______________________
Date authorized stay expired, or will expire ______________________________________
- Name and
address of present employer, if any
_________________________________________________________________________
_________________________________________________________________________
Date this employment began __________________________________________________
- Has your
spouse ever been under immigration proceedings? ___ yes ___
no
If yes, where ______________________________________ when ___________________
- List all
children of your spouse:
Name
Relationship
Date of Birth
Country of Birth
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
- Address
in the U.S. where your spouse intends to live:
_________________________________________________________________________
_________________________________________________________________________
- Your spouse's
address abroad (in English)
_________________________________________________________________________
- Your spouse's
name (in his/her native language) __________________________________
Your spouse's address abroad (in his/her native language)
_________________________________________________________________________
_________________________________________________________________________
- Give last
address at which you and your spouse both lived together:
_________________________________________________________________________
_________________________________________________________________________
You both lived there from (mm/yy) __________ to (mm/yy) __________.
- Have you
ever filed a petition for this or any other alien before? ___
yes ___ no
If yes, give name, place and date of filing, and result
_________________________________________________________________________
_________________________________________________________________________
The
information sheet for adjustment of status application (I-485)
to be filled out by the alien spouse is as follows:
- Last Name ________________ First Name ________________ Middle Name ___________
- Date
of birth __________________________ Country of birth _______________________
- Social
security number _______________________ A#, if any _______________________
- Date
of last arrival _____________________ I-94# _______________________________
- Current
INS status _____________________ Expires on ___________________________
- City/town/village
of birth _____________________________________________________
- Current
occupation _________________________________________________________
- Your
mother's first name _________________ Your father's first
name ________________
- Place
of last entry into the U.S. (city) _________________________ (state)
____________
- Were
you inspected by a U.S. immigration officer? ___ yes ___ no
- In
what status did you last enter? ________________________________
- Nonimmigrant
visa number ______________________________________
- Consulate
where visa was issued ________________________________
- Date
visa was issued __________________________________________
- Male
___ Female ___
- Marital
status: ___ married ___ single ___ widowed ___ divorced
- Have
you ever applied for permanent resident status in the U.S.?
___ yes ___ no
If yes, (date of filing) ______________ (place of filing) ______________
(result) ________
- List
your present husband/wife, and all sons and daughters:
Name Date of Birth
Country of Birth Relationship
A#
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
- List
your present and past membership in or affiliation with every
political organization, association, fund, foundation, party,
club, society or similar group in the U.S. or in any other place
since your 16th birthday. Include any foreign military service
in this part. Include name of the organization, location, dates
of membership, and the nature of the organization.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Biographic
information to be filled out for each of the spouse is as follows:
- Family Name ________________ First Name ________________ Middle Name __________
Write Your Name in Your Native Language _______________________________________
- Male
______ Female ______
- Date
of Birth (mm/dd/yy) _____________________
- Nationality ________________________________
- File Number A______________________________
- All
Other Names Used (including names by previous marriages) _______________________
- City
and Country of Birth _____________________________________________________
- Social
Security Number (if any) ________________________________________________
- Information
About Your Father:
Family Name ________________ First Name _______________ Date of Birth ___________
City and Country of Birth _____________________________________________________
City and Country of Residence _________________________________________________
- Information
About Your Mother:
Family Name ________________ First Name _______________ Date of Birth ___________
City and Country of Birth _____________________________________________________
City and Country of Residence _________________________________________________
- Information
About Your Husband or Wife:
Family Name (For wife, give maiden name) _______________ First
Name _______________
Date of Birth ______________________ City and Country of Birth ____________________
Date of Marriage ______________________ Place of Marriage _______________________
- Information
About Former Husbands or Wives (if any):
Family Name (For wife, give maiden name) _______________ First
Name _______________
Date of Birth ___________________ Date and Place of Marriage _____________________
Date and Place of Termination of Marriage _______________________________________
- Your
Residence During the Last Five Years. List Present Address First:
(1). Street and Number ______________________________________________________
City _______________________ Province or State ___________ Country
_____________
From (mm/yy) ______________ To present time;
(2). Street and Number ______________________________________________________
City _______________________ Province or State ___________ Country
_____________
From (mm/yy) ______________ To (mm/yy) ______________;
(3). Street and Number ______________________________________________________
City _______________________ Province or State ___________ Country
_____________
From (mm/yy) ______________ To (mm/yy) ______________;
(4). Street and Number ______________________________________________________
City _______________________ Province or State ___________ Country
_____________
From (mm/yy) ______________ To (mm/yy) ______________;
(5). Street and Number ______________________________________________________
City _______________________ Province or State ___________ Country
_____________
From (mm/yy) ______________ To (mm/yy) ______________;
- Your
Last Address Outside the United States of More Than One Year:
Street and Number _________________________________________________________
City _______________________ Province or State ___________ Country
_____________
From (mm/yy) ______________ To (mm/yy) ______________
- Your
Employment During the Last Five Years (if any). List Present
Employment First:
(1). Full Name and Address of Employer _________________________________________
_________________________________________________________________________
Occupation __________________ From (mm/yy) ____________ To present time;
(2). Full Name and Address of Employer _________________________________________
_________________________________________________________________________
Occupation __________________ From (mm/yy) ____________ To (mm/yy)
____________;
(3). Full Name and Address of Employer _________________________________________
_________________________________________________________________________
Occupation __________________ From (mm/yy) ____________ To (mm/yy)
____________;
(4). Full Name and Address of Employer _________________________________________
_________________________________________________________________________
Occupation __________________ From (mm/yy) ____________ To (mm/yy)
____________;
(5). Full Name and Address of Employer _________________________________________
_________________________________________________________________________
Occupation __________________ From (mm/yy) ____________ To (mm/yy)
____________;
- Your
Last Occupation Abroad if Not Shown Above:
Full Name and Address of Employer _____________________________________________
_________________________________________________________________________
Occupation __________________ From (mm/yy) ____________ To (mm/yy)
____________.
For more information on spouses and
children of permanent residents,
please click on the following links: