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Personal Information

Tell us about yourself

We need some basic details to get started on your application.

Alien Registration Number (A-Number)
?
An A-Number is a unique 7 to 9-digit number assigned to a noncitizen by USCIS.

If you have been issued one. You can find this on prior USCIS correspondence.

Full Legal Name
*

?
Enter your name exactly as it appears on your passport.

As shown on your passport or travel document

Date of Birth
*

Sex
*

Male

Female

City or Town of Birth
*

Country of Birth
*

Country of Citizenship or Nationality
*

Have you ever used another name?
*

Including maiden name, aliases, or nicknames used on official documents

Yes

Other Names

Other Names You Have Used

Provide any other names you have used, including maiden name, aliases, or nicknames used on official documents.

Other Name 1
*

Other Name 2 (if applicable)

Address History

Current U.S. Physical Address

Provide your current residential address as it appears on official mail.

Current Physical Address
*

Date You First Resided at This Address
*

Is your mailing address the same as your physical address?
*

Yes

Review Your Answers

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Sample Form Preview

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Tell us about yourself

Alien Registration Number (A-Number) ?An A-Number is a unique 7 to 9-digit number assigned to a noncitizen by USCIS.

Full Legal Name * ?Enter your name exactly as it appears on your passport.

Date of Birth *

Sex *

City or Town of Birth *

Country of Birth *

Country of Citizenship or Nationality *

Have you ever used another name? *