<p> PETITIONS FOR SPOUSE OR FIANCE</p><p>A. The Foreign National:</p><p>1. Name</p><p>1a. Other names used:</p><p>2. SS#</p><p>3. Address</p><p>3a. Phone number</p><p>4. Date of Birth</p><p>5. Place of Birth</p><p>6. Nationality</p><p>7. Date of last entry in the US </p><p>8. Place of entry </p><p>9. Immigration Status </p><p>10. Date status expires (if applicable)</p><p>11. Full name of father</p><p>12. Date and place of birth of father</p><p>13. City and country of residence of father</p><p>14. Full name (maiden name) of mother</p><p>15. Date and place of birth of mother</p><p>16. City and country of residence of mother</p><p>17. Date and place of present marriage</p><p>18. Maiden names and date of birth of former spouses 19. Date and place the previous marriage</p><p>20. Date and place of termination of previous marriage </p><p>21. Addresses during the last five years (from:... to:.... dates)</p><p>Street Address, City, State/Country, ZIP code From: To: </p><p> month/year month/year</p><p>22. Last address outside of the US (from... to... mm/year)</p><p>23. Names and addresses of employers for the last five years (from:... to:... dates). </p><p>[Include the occupation]</p><p>Name of company Address Occupation From: To: </p><p> mm/yyyy mm/yyyy 24. Military service: place, date (from... to...), branch, rank/position, military </p><p> specialty/occupation</p><p>25. Children – names, date of birth, country of birth.</p><p>26. Have you ever, in or outside of the US, been arrested, cited, charged, indicated, fined</p><p> or imprisoned for braking or violating any law or ordinance? Date and place? </p><p>Charge? Disposition?</p><p>B. The Petitioner (US Citizen / permanent resident):</p><p>1. Name</p><p>1a. Other names used:</p><p>2. SS#</p><p>3. Address</p><p>3a. Phone number</p><p>4. Date of Birth</p><p>5. Place of Birth</p><p>6. Alien number (if applicable)</p><p>7. Date you became Permanent Resident (if applicable)</p><p>8. Place and class of admission (if applicable)</p><p>9. Nationality</p><p>10. Number of naturalization certificate, date and place of naturalization (if applicable)</p><p>11. Full name of father 12. Date and place of birth of father</p><p>13. City and country of residence of father</p><p>14. Full name (maiden name) of mother</p><p>15. Date and place of birth of mother</p><p>16. City and country of residence of mother</p><p>17. Date and place of present marriage</p><p>18. Maiden names and date of birth of former spouses</p><p>19. Date and place of previous marriage-(s)</p><p>20. Date and place of termination of previous marriage-(s)</p><p>21. Addresses during the last five years (from:... to:.... dates)</p><p>Street Address, City, State/Country, ZIP code From: To: </p><p> month/year month/year</p><p>22. Names and addresses of employers for the last five years (from:... to:... dates). </p><p>Include what the occupation]</p><p>Name of company Address Occupation From: To: 23. Current annual incomes or wage per hour and how many work hours weekly.</p><p>24. Last foreign address (if applicable)</p>
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