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1345 Avenue of the Americas, 2nd Floor
New York, NY 10105
ken
garcia
attorney at law
_________________________________
Immigration & Nationality Law
FREE CONSULTATION
I-130 QUESTIONNAIRE (beneficiary PART 1 OF 2)
Please answer all questions completely and truthfully.
If a required field is not applicable, please write N/A or NA.
The information collected will be used to prepare the applicable petition/application, will be kept entirely confidential and will not be disclosed to anyone without the client’s consent.
PART I. INFORMATION ABOUT THE BENEFICIARY (Foreign National Relative of Petitioner)
1. Complete Name (LAST, First, Middle):
*
2. Other Names Used (if applicable):
*
3. Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
4. Daytime Phone Number:
*
5. Mobile Phone Number:
*
6. Email:
*
7. Date of Birth (mm/dd/yyyy):
*
8. City of Birth:
*
9. State/Province of Birth:
*
10. Country of Birth:
*
10. A-Number, if any:
*
11. Last 4-digits of U.S. Social Security Number, if any:
*
12. Information About Prior Spouse, if applicable:
12(a). Complete Name of Prior Spouse (LAST, First Middle):
*
12(b): Date of Birth of Prior Spouse (mm/dd/yyyy):
*
12(c): Date (mm/dd/yyyy) and Place of Marriage with Prior Spouse:
*
12(d): Date (mm/dd/yyyy) and Place of Termination of Marriage with Prior Spouse:
*
13. Has the Beneficiary ever been in the US?
*
Yes
No
14. If the Beneficiary is currently in the United States, complete the following:
14(a). The Beneficiary arrived as a:
*
Tourist/Business Visitor
Student
Exchange Visitor
Crewman
Stowaway
Temporary Worker
Without Inspection
Other
14(a)(i). If "Other," please specify:
*
14(b). Date of Most Recent Arrival (mm/dd/yyyy):
*
Write "N/A" if not applicable.
14(c). Place of Most Recent Entry into the United States:
*
Write "N/A" if not applicable.
14(d). Passport Number:
*
14(e). Nonimmigrant Visa Number Information:
14(e)(i). Nonimmigrant Visa Number:
*
14(e)(ii). Date of Issuance of the Nonimmigrant Visa (mm/dd/yyyy):
*
14(e)(iii). Consulate Where Nonimmigrant Visa was Issued:
*
15. Name and Address of Beneficiary's Present Employer, if any:
*
15(a). Date this employment began, if applicable (mm/dd/yyyy or mm/yyyyy):
*
16. Has the Beneficiary been under immigration proceedings?
*
Yes
No
16(a). If Yes, specify details (where and when):
*
17. List all children, if any, of the Beneficiary by providing each child's complete name, date of birth and country of birth:
*
18. Complete Address in the United States where the Beneficiary intends to live:
*
Line 1
Line 2
City
State
Zip Code
Country
19. Complete Address of the Beneficiary Abroad:
*
Line 1
Line 2
City
State
Zip Code
Country
Submit