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- Classification Type*
- If K-3: Have you filed Form I-130 for your spouse?
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- Is your mailing address the same as your physical address?*
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- Address 1 - From (Date)*
- Address 1 - To (Date)*
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- Address 2 - From (Date)
- Address 2 - To (Date)
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- Employer 1 - From (Date)*
- Employer 1 - To (Date)*
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- Employer 2 - From (Date)
- Employer 2 - To (Date)
- Date of Birth*
- Gender*
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- Parent 1 - Date of Birth
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- Parent 2 - Date of Birth
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- Have you ever been married?*
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- Date Marriage Ended
- U.S. Citizenship Status*
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- Certificate Date
- Have you previously filed Form I-129F?*
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- If yes, Date Filed
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- Beneficiary Date of Birth*
- Beneficiary Gender*
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- Beneficiary Address 1 - From (Date)*
- Beneficiary Address 1 - To (Date)*
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- Beneficiary Address 2 - From (Date)
- Beneficiary Address 2 - To (Date)
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- Beneficiary Employer 1 - From (Date)*
- Beneficiary Employer 1 - To (Date)*
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- Beneficiary Employer 2 - From (Date)
- Beneficiary Employer 2 - To (Date)
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- Beneficiary Parent 1 - Date of Birth
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- Beneficiary Parent 2 - Date of Birth
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- Has the beneficiary ever been married?*
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- If yes, Divorce Date
- Has the beneficiary ever been in the U.S.?*
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- If yes, Date of Entry
- If yes, Expiration Date
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- Passport Expiration Date*
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- Children of Beneficiary - Date of Birth
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- Does the child live with the beneficiary?
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- Is the beneficiary related to the petitioner?*
- Have you met the beneficiary in person within the last 2 years?*
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- Have you used an International Marriage Broker (IMB)?*
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- Have you ever had a restraining or protection order issued against you?*
- Have you ever been convicted of domestic violence?*
- Have you ever been convicted of a sexual crime?*
- Have you been convicted of 3 or more offenses involving drugs or alcohol?*
- Have you ever been arrested, charged, or convicted of any other crimes?*
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- Are you requesting a multiple filer waiver?
- Are you requesting a domestic violence waiver?
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- Race*
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Format: (000) 000-0000.
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Format: (000) 000-0000.
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- Date of Signature*
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- Should be Empty: