G-325B Biograhic Information

OMB No. 1615-0008; Expires 06/30/2011

Department of Homeland Security
U.S. Citizenship and Immigration Services

G-325B, Biographic Information

(First Name)

(Family Name)

(Middle Name)

Female

Family Name

A
U.S. Social Security # (if any)

City and Country of Birth

All Other Names Used (include names by previous marriages)
First Name

Date of Birth
(mm/dd/yyyy)

File Number

Date of Birth (mm/dd/yyyy) Citizenship/Nationality

Male

City and Country of Birth (if known)

City and Country of Residence

Father
Mother
(Maiden Name)
Current Husband or Wife (If none, so state)
Family Name (For wife, give maiden name)

First Name

Former Husbands or Wives (If none, so state)
Family Name (For wife, give maiden name)

First Name

Date of Birth
(mm/dd/yyyy)

Birth Date
(mm/dd/yyyy)

Date
(mm/dd/yyyy)

Date of Marriage

City and Country of Birth

Place of Marriage

Place of Termination of Marriage

Date
(mm/dd/yyyy)

Applicant's residence last 5 years. List present address first.
Street and Number

City

Place of Marriage

From
Province or State

Month

Country

To

Year

Year

Month

Present Time

Applicant's last address outside the United States of more than 1 year.
Street and Number

City

From

Province or State

Month

Country

Applicant's employment last 5 years. (If none, so state.) List present employment first.

Month

Year

Month

Month

Year

To

From

Occupation (Specify)

Full Name and Address of Employer

To
Year

Year

Present Time

Last occupation abroad if not listed above. (Include all information requested above.)
This form is submitted in connection with an application for:
Other (Specify):

Naturalization
Status as Permanent Resident

If serving or ever served in the Armed Forces of the United States,
complete the following:
Branch of Service

USCIS USE (Office of Origin)

Service Number

Rank

Office Code

To Other Agency: Furnish on Page 2 of this form, or by attachment hereto, any derogatory
information that may be contained in your records concerning the above person for use in connection
with consideration of above application and return to U.S. Citizenship and Immigration Services.

Type of Case
Date

(Other Agency)
FOR STATE
DEPARTMENT USE

(All Defense Checks)
MIL
PERS

AIR
RESERVE

USAF
PERS

ARMY
PERS

SEE O.I. 328. 1 FOR
MAILING ADDRESS

OSI
(USAF)

SY

ONI
(USN)

RSC
STATE
(P.P.)

MID
G-2

PROV.
MAR.

STATE
(S.Y.)

OTHER

RMR
C:Visa

SEE O.I. 105.4
FOR MAILING ADDRESS

R:Visa
ORM

Form G-325B (Rev. 06/12/09)Y

Date:
Date of entry into service:
Date of separation:
Service number:

The records of this Department show the following with respect to the subject of your inquiry:
All organizations, clubs, or societies in the United States, or in any other country, of which subject was a member at any time, and
dates thereof. (If none, write "None.")

All arrests, convictions, disciplinary actions, court martial proceedings, and illegal or immoral conduct in which subject involved,
including dates and results thereof. (If none, write "None.")

Details of any oral or written statements, conduct, behavior, or associations of the subject that may indicate belief in, advocacy of or
preference or sympathy for Communism, or any other foreign ideology inconsistent with loyalty to the United States, or the form of
Government of the United States or attachment to the principles of the U.S. Constitution. (If none, write "None.")

Additional information or references.

I certify that the information here given concerning the person named is correct according to the records of the:
Name of Department or Organization
Official Signature
By

Form G-325B (Rev. 06/12/09)Y Page 2

Instructions
What Is the Purpose of This Form?
Complete this biographical information form and include it with the application or petition you are submitting to U.S. Citizenship and
Immigration Services (USCIS).
USCIS will use the information you provide on this form to process your application or petition.
If you have any questions on how to complete the form, call our National Customer Service Center at 1-800-375-5283.

Privacy Act Notice
We ask for the information on this form, and associated evidence, to determine if you have established eligibility for the immigration
benefit for which you are filing. Our legal right to ask for this information can be found in the Immigration and Nationality Act, as
amended. We may provide this information to other government agencies. Failure to provide this information, and any requested
evidence, may delay a final decision or result in denial of your immigration benefit.

Paperwork Reduction Act
An agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at
25 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
U.S. Citizenship and Immigration Services, Regulatory Products Division, 111 Massachusetts Avenue, N.W., 3rd Floor, Suite 3008,
Washington, DC 20529-2210. OMB No. 1615-0008. Do not mail your application to this address.

Form G-325B (Rev. 06/12/09)Y Page 3