Questionnaire for G-325 Biographic Information

Personal Information

1. Full Name

a. Family name

b. First name

c. Middle name

2. Information about the birth

a. Date of Birth month/day/year
b. City of birth
c. Country of birth

3. Nationality (Country of citizenship)
4. Social Security Number (if any)
5. Alien Number (A#-if any)

6. Other name(s) used:

    a. Maiden name

    b. Name(s) used from prior marriage(s)

7. Information about your parents

    Information about your father

a. Family Name

b. First Name

c. Middle Name

d. Date of Birth month/day/year

e. Place of Birth City/Country

f. Father's current address:

    Street number

    City

    State/Province

    Zip code

    Country

g. Deceased

    Information about your mother

h. Maiden Name

i.   First Name

j.   Middle Name

k. Date of Birth month/day/year

l.   Place of Birth City/Country

m. Mother's current address:

      Street number

      City

      State/Province

      Zip code

      Country

n. Deceased

8. Information about your spouse

a. Family Name

   Maiden Name

b. First Name

c. Middle Name

d. Date of Birth month/day/year

e. Place of Birth City/Country

:f. Date of marriage month/day/year

g. City of marriage

h. Country of marriage

9. Number of prior marriages including this one:

10. Information about your former spouse

a. Family Name

Maiden Name

b. First Name

c. Middle Name

d. Date of Birth month/day/year

e. Place of Birth City/Country

:f. Date of marriage month/day/year

g. Place of marriage City/Country

h. Date of divorce month/day/year

i. Place of divorce City/Country

Give the same information below for all your former spouses.
It is very important that you respect the order of the information requested.

Biographic Information

11. List ALL of the addresses where you lived in the last FIVE years:

a. Street number

b. City

c. State (Province)

d. Country
e. Zip Code
f. From

g. To

(month/year)

(month/year)

If you had more than five addresses in the last five years, use the space below.
It is very important that you respect the order of the information requested.

12. Give the last address where you lived outside the United States for more than one year:

a. Street and Number

b. City

c. State (Province)

d. Country

e. Zip Code

f. From (month/year)

g. To (month/year)

Employment Background

13. The applicant’s employment in the last five years:

a. Full name of employer

b. Address of employer

c. Job Title

d. From

e. To

(street number, city, country)

(month/year)

(month/year)

If you had more than five jobs in the last five years, use the space below.
It is very important that you respect the order of the information requested.

14.Give the last employment you had outside the United States:

a. Full name of employer

b. Address of employer

c. Job Title

d. From

e. To

(street number, city, country)

(month/year)

(month/year)