How to reach
us?
Toll-free number:
1-866-360-4LAW
1-866-360-4529
Our location
Main Office: 16177 Brookhurst Ave Fountain Valley, CA 92708.
Tel: (714) 636-6030
(714) 389-7880
>>Map
Orange County 14411 Brookhurst Ave,
Suite A
Garden Grove, CA 92843
Tel: (714) 775-7770
>>Map
Rosemead 8450 Garvey Ave. Suite 208 Rosemead, CA 91770.
Tel:
(626) 307-4000
>>Map
Other branches: 626-288-0854 (San Gabriel
Valley) |
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APPLICANT'S QUESTIONNAIRE
FOR IMMEDIATE RELATIVE SPOUSE OF PERMANENT
RESIDENT
Please type your answers into the right
column. Use additional sheet(s) as required.
To download a MS Word version of this
document, right click on
this link and select "Save Target As"
(for mac users, CTRL + click).
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GENERAL
INFORMATION
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Full Name
(First/Middle/LAST): |
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Other Names
Used (Maiden):
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Sex (Male or
Female): |
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U.S.
Address: |
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Home
Telephone: |
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Office
Telephone: |
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Fax Number:
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Email
Address: |
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Date of
Birth (mo/day/year): |
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Place of
Birth (City, State/Province,
Country): |
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U.S. Social
Security Number (if any):
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Alien
Registration Number (if any):
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Your Foreign
Address and Phone Number Abroad:
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Date of Last
Arrival: |
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City and
State of Last Entry: |
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I-94 Number:
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Consulate
Where Visa Was Issued:
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Date Visa
Was Issued: |
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List all
of your children |
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Full Name |
Relationship |
Date and Place of Birth |
A Number |
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Information About Father and
Mother
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Family
Name |
First |
Date,
City/County of Birth |
City/County of Residence |
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Father |
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Mother (Maiden) |
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List Previous Husbands or Wives
(if none state none)
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Family
Name (if wife give maiden
name) |
First
Name |
Birth
Date |
Date and
Place of Marriage |
Date and
Place of Termination of
Marriage |
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List Residence Last Five Years
(start with most recent)
Street
Address
(mo/yr) |
City |
State/Province |
Country |
From
(mo/yr) |
To |
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Present |
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List Last Address Outside The
United States of More Than One
Year
Street
Address
(mo/yr) |
City |
State/Province |
Country |
From
(mo/yr) |
To |
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List Employment Last Five Years
(if none state none)
Name of
Employer
(mo/yr) |
Address
of Employer |
Occupation |
From
(mo/yr) |
To |
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List Last Occupation Abroad (if
none state none)
Name of
Employer
(mo/yr) |
Address
of Employer |
Occupation |
From |
To |
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Immigration Law Group LLP
2880 Zanker Road, Suite 201
San Jose, CA 95134
Tel (408) 432-9200
Fax (408) 432-9191
www.immigrationlawgroup.net
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