| Part 3. Biographic Information (continued) |
|
6.
|
Hair Color (Select only one box)
|
| Part 4. Information About Beneficiary |
|
1.
|
Alien Registration Number (A-Number) (if any)
|
|
2.
|
USCIS Online Account Number (if any)
|
|
3.
|
U.S. Social Security Number (if any)
|
| Other Names Used (if any) |
| Provide all other names the
beneficiary has ever used, including aliases, maiden name, and
nicknames.
|
| Other Information About
Beneficiary
|
|
6.
|
City/Town/Village of Birth
|
|
10.
|
Has anyone else ever filed a petition for the beneficiary?
| NOTE: Select
"Unknown" only if you do not know, and the beneficiary also
does not know, if anyone else has ever filed a petition for
the beneficiary.
|
|
|
| Beneficiary's Physical
Address
|
| If the beneficiary lives
outside the United States in a home without a street number or name,
leave Item Numbers 11.a. and 11.b. blank.
|
| Other Address and Contact
Information
|
| Provide the address in the United States where the beneficiary intends to live, if different
from Item Numbers 11.a. - 11.h. If the address is the same,
type or print "SAME" in Item Number 12.a.
|
| Provide the beneficiary's address outside the United States, if different from Item Numbers 11.a. - 11.h. If the address is the same, type or print "SAME" in Item Number 13.a.
|
|
