Validated September 2025 I-693 Immigration Exam

Your Full Legal Name (Do not provide a nickname)

Given Name (First Name)Middle Name (if applicable)Family Name (Last Name)
In Care Of Name (if any)
Street Number and Name
Apartment, Suite , or Floor Number [if any]
City or Town
State
ZIP Code
Province
Postal Code
Country
Gender
Date of Birth (mm/dd/yyyy)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
City/Town/Village of Birth
Country of Birth
Alien Registration Number (A-Number if any, Type Number Only)
USCIS Online Account Number (if any)
Are you eligible for the vaccination record portion only and have already completed an overseas immigration exam?
Applicant's Daytime Telephone Number
Format: (000) 000-0000.
Applicant's Mobile Telephone Number (if any)
Format: (000) 000-0000.
Applicant's Email Address (if any)
example@example.com
Interpreter's Email Address (if any)
example@example.com
Person Preparing this Application, if Other Than the Applicant

Preparer's Given Name (First Name)Preparer's Family Name (Last Name)
Preparer's Daytime Telephone Number
Format: (000) 000-0000.
Preparer's Mobile Telephone Number (if any)
Format: (000) 000-0000.
Preparer's Email Address (if any)
example@example.com
Should be Empty: