PETITIONER'S QUESTIONNAIRE FOR IMMIGRANT VISA PETITION FAMILY BASED

Please type your answers into the right column. Use additional sheet(s) as required.

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INFORMATION ABOUT YOU
Full Name (First/Middle/LAST):  
Other Names Used (Maiden):

  		 
Sex (Male or Female):

  		 
U.S. Address:  
Home Telephone:  
Office Telephone:  
Fax Number:  
Email Address:  
Date of Birth (mo/day/year):  
Place of Birth (City, State/Province, Country):  
U.S. Social Security Number (if any):  
Alien Registration Number (if any):  
Marital Status (circle one): Married              Single              Widowed              Divorced
If Married, Date and Place of Present Marriage:  
Names of Prior Husbands/Wives and Date(s) Marriage(s) Ended:  
List Your Current Yearly Salary:  
List the Last Three Years You Filed a Federal Income Tax Return:  


Please Answer the Questions That Apply To You

Processing Information
If you gained U.S. Citizenship through Naturalization give certificate number, date, and location certificate was issued:  
If you gained U.S. Citizenship through your parents, did you obtain a certificate of citizenship in your own name? If yes give certificate number, date, and location certificate was issued:  
If you are a permanent resident give date and place you entered the U.S. as a permanent resident or date and place your adjustment or status to permanent resident was approved. Also give the classification:  
If you are a permanent resident did you gain your permanent residency through marriage to a U.S. Citizen or permanent resident? If yes, please explain:  
If you are a permanent resident did you gain your permanent residence through adoption? If yes, please explain:  
Have you ever filed a petition for this or any other alien before? If yes, give name, place and date of filing and results:  
Are you submitting separate petitions for other relatives? Yes/No. If yes, give name and relationship:  


Please Answer Questions Regarding Your Alien Relative

INFORMATION ABOUT YOUR ALIEN RELATIVE
Alien Relative is Parent/Brother/Sister/Child:  
Are you related by adoption? Yes/No:

  		 
Full Name (First/Middle/LAST):

  		 
Other Names Used (Maiden):  
Sex (Male or Female):  
Current Address:  
Foreign Address:  
Address in the U.S. Where Relative Will Reside:  
Home Telephone:  
Office Telephone:  
Fax Number:  
Email Address:  
Date of Birth (mo/day/year):  
Place of Birth (City, State/Province, Country):  
U.S. Social Security Number (if any):  
Alien Registration Number (if any):  
Marital Status (circle one): Married          Single          Widowed          Divorced
If Married, Date and Place of Present Marriage:  
Names of Prior Husbands/Wives and Date(s) Marriage(s) Ended:  
Has your relative ever been to the U.S.? Yes/No:  
List Name and Address of Current Employer and Date this Employment Began (if applicable):  
List Husband/Wife and children of your relative
Full Name Relationship Date of Birth Country of Birth
       
       
       
       




Immigration Law Group LLP
3590 N. First St., Suite 310
San Jose, CA 95134
Tel (408) 432-9200
Fax (408) 432-9191
www.immigrationlawgroup.net