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Part A.II. Information About Your Spouse and Children

Your spouse

I am not married. (Skip to Your Children below.)

1. Alien Registration Number (A-Number) (if any)

2. Passport/ID Card Number (if any)

3. Date of Birth (mm/dd/yyyy)

4. US. Social Security Number (if any)

5. Complete Last Name

6. First Name

7. Middle Name

8. Other names used (include maiden name and aliases)

9. Date of Marriage (mm/dd/yyyy)

10. Place of Marriage

11. City and Country of Birth

12. Nationality (Citizenship)

13. Race, Ethnic, or Tribal Group

14. Gender

Male

Female

15. Is this person in the U.S.?

Yes (Complete Blocks 16 to 24.)

No

(Specify location).

16. Place of last entry into the U.S.

17. Date of last entry into the U.S. (mm/ddyyyy)

18. 1-94 Number (if any)

19. Status when last admitted (Visa type, if any)

20. What is your spouse's current status?

21. What is the expiration date of his/her authorized stay, if any? (mm/dd)yyy)

22. Is your spouse in Immigration Court proceedings?

Yes

No

23. If previously in the U.S, date of previous arrival (mm/dd/yy)

24. If in the U.S., is your spouse to be included in this application? (Check the appropriate box.)

Yes (Attach one photograph of your spouse in the upper right corner of Page 9 on the extra copy

No

Your Children. List all of your children, regardless of age, location, or marital status.

I do not have any children. (Skip to Part A III, Information about your background.)

I have children.

Total number of children:

//(NOTE: Use Form 1-589 Supplement A or attach additional sheets of paper and documentation if

//you have more than four children.)

Child Number 1:

1. Alien Registration Number (A-Number)(if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)

5. Complete Last Name

6. First Name

7. Middle Name

8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group

12. Gender

Male

Female

13. Is this child in the U.S. ?

Yes (Complete Blocks 14 to 21.)

No (Specify location).

Location.

14. Place of last entry into the U.S. (mmddyy)

15. Date of last entry into the U.S.(mm/dd/yyyy)

16. 1-94 Number (If any)

17. Status when last admitted (Visa type, if amy)

18. What is your child's current status?

19. What 1s the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)

20. Is your child in Immigration Court proceedings?

Yes

No

21. If in the U.S, 1s this child to be included in this application? (Check the appropriate box.)

Yes

(Attach one photograph of your child in the upper right corner of Page 9 on the extra

copy of the application submitted for this person.)

No

Child Number 2:

1. Alien Registration Number (A-Number)(if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)

5. Complete Last Name

6. First Name

7. Middle Name

8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group

12. Gender

Male

Female

13. Is this child in the U.S. ?

Yes (Complete Blocks 14 to 21.)

No (Specify location).

Location.

14. Place of last entry into the U.S. (mmddyy)

15. Date of last entry into the U.S.(mm/dd/yyyy)

16. 1-94 Number (If any)

17. Status when last admitted (Visa type, if amy)

18. What is your child's current status?

19. What 1s the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)

20. Is your child in Immigration Court proceedings?

Yes

No

21. If in the U.S, 1s this child to be included in this application? (Check the appropriate box.)

Yes

(Attach one photograph of your child in the upper right corner of Page 9 on the extra

copy of the application submitted for this person.)

No

Child Number 3:

1. Alien Registration Number (A-Number)(if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)

5. Complete Last Name

6. First Name

7. Middle Name

8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group

12. Gender

Male

Female

13. Is this child in the U.S. ?

Yes (Complete Blocks 14 to 21.)

No (Specify location).

Location.

14. Place of last entry into the U.S. (mmddyy)

15. Date of last entry into the U.S.(mm/dd/yyyy)

16. 1-94 Number (If any)

17. Status when last admitted (Visa type, if amy)

18. What is your child's current status?

19. What 1s the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)

20. Is your child in Immigration Court proceedings?

Yes

No

21. If in the U.S, 1s this child to be included in this application? (Check the appropriate box.)

Yes

(Attach one photograph of your child in the upper right corner of Page 9 on the extra

copy of the application submitted for this person.)

No

Child Number 4:

1. Alien Registration Number (A-Number)(if any)

2. Passport/ID Card Number (if any)

3. Marital Status (Married, Single, Divorced, Widowed)

4. U.S. Social Security Number (if any)

5. Complete Last Name

6. First Name

7. Middle Name

8. Date of Birth (mm/dd/yyyy)

9. City and Country of Birth

10. Nationality (Citizenship)

11. Race, Ethnic, or Tribal Group

12. Gender

Male

Female

13. Is this child in the U.S. ?

Yes (Complete Blocks 14 to 21.)

No (Specify location).

Location.

14. Place of last entry into the U.S. (mmddyy)

15. Date of last entry into the U.S.(mm/dd/yyyy)

16. 1-94 Number (If any)

17. Status when last admitted (Visa type, if amy)

18. What is your child's current status?

19. What 1s the expiration date of his/her authorized stay, if any? (mm/dd/yyyy)

20. Is your child in Immigration Court proceedings?

Yes

No

21. If in the U.S, 1s this child to be included in this application? (Check the appropriate box.)

Yes

(Attach one photograph of your child in the upper right corner of Page 9 on the extra

copy of the application submitted for this person.)

No

Assistant