Department of Homeland Security U.

S Citizenship and Immigration Services

OMB NO. 1615-0008: Exp. 05/31/09

G-325A, Biographic Information

Birth Date 04-May-1974 Citizenship/Nationality Indian File Number A

____________________________________________________________________________________________________
(Family Name ) Manjeet Kaur (First Name ) Manjeet (Middle Name ) Kaur

Male Female

All Other Names used ( Including names by previous marriages)

City and country of Birth Village Jeeda Distt. Bathinda,Punjab India Date , City and Country of Birth ( If Known)

U.S Social Security # (If any)

Family Name Father Mother (Maiden Name )

First Name

City and country of Residence

Husband or wife (if none, Family Name So state) (for wife, give maiden name)

First Name

Birth date (mm/dd/yyyy)

City & Country of Birth

Date of Marriage

Place of Marriage

Former Husbands or Wives (If none, so state family name ( for wife, give maiden name)

First Name

Birth Date (mm/dd/yyyy)

Date and place of Marriage

Date and place of termination of marriage

Applicants residence last five year present address first.

From Country Month Year

To Month Year

Street and Number

City

Province or State

Present time

Applicans last address outside the united states of more than one year.

From Month Year

To Month Year

Street and number

City

Province or state

Country

Applicants employeement last five years (if none, so state.) list present employment first

From Month Year

To Month Year

Full name and Address of Employer

Occupation (Specify)

Present Time

Show below last occupation abroad if not shown above.)

This form is submitted in connection with an application for Naturalization other (specify) ______

Signature of Applicant

Date

Status as permanent resident Submit all copies of this Resident

If you native alphabet in other than Roman letters, write your name in your native alphabet below:

Penalities : Server penalties are provided by law for knowingly and willfully faisifying concealing a material fact Applicant : Be sure to put your name and alien Registration Number in the box outlined by heavy border below.

Complete this box ( Family Name )

(Given Name )

(Middle Name )

(Alien Registration Number)