Part 2: Information About You
Enter the petitioner's identification, names, birth information, mailing address, and address history.
Identification Numbers
Enter a valid A-Number, up to 9 digits, or leave it blank.
Enter a valid USCIS Online Account Number, up to 12 digits, or leave it blank.
Enter a valid 9-digit Social Security number, or leave it blank.
Your Full Name
Family name is required.
Given name is required.
Other Names Used (if any)
Provide all other names you have ever used, including aliases, maiden name, and nicknames.
Other Information
City, town, or village of birth is required.
Country of birth is required.
Date of birth is required.
Mailing Address
Mailing street number and name is required.
Unit number is required when Apt., Ste., or Flr. is selected.
Mailing city or town is required.
State is required for a U.S. mailing address.
Enter a valid ZIP Code.
Mailing country is required.
Address History
Provide your physical addresses for the last five years. Provide your current address first.
Physical Address 1
Physical Address 1 street is required when the physical address is different.
Unit number is required when Apt., Ste., or Flr. is selected.
Physical Address 1 city or town is required.
State is required for a U.S. physical address.
Enter a valid ZIP Code.
Physical Address 1 country is required.
Date from is required for Physical Address 1.
Physical Address 2
Complete this address if you lived at another physical address during the last five years.
Physical Address 2 street is required when this address is provided.
Unit number is required when Apt., Ste., or Flr. is selected.
Physical Address 2 city or town is required when this address is provided.
State is required for a U.S. physical address.
Enter a valid ZIP Code.
Physical Address 2 country is required when this address is provided.
Date from is required when Physical Address 2 is provided.
Date to is required when Physical Address 2 is provided.
Your Marital Information
Enter the number of times you have been married.
Enter a valid current marriage date.
Place of Your Current Marriage
City or town of current marriage is required.
State is required for a U.S. marriage location.
Country of current marriage is required.
Names of All Your Spouses (if any)
Provide information on your current spouse first if currently married, and then list prior spouses.
Spouse 1
Spouse 1 family name is required.
Spouse 1 given name is required.
Enter the date this marriage ended.
Spouse 2
Spouse 2 family name is required when Spouse 2 is provided.
Spouse 2 given name is required when Spouse 2 is provided.
Enter the date this marriage ended.
Information About Your Parents
Parent 1's Information
Parent 1 family name is required.
Parent 1 given name is required.
Enter Parent 1's date of birth.
Parent 1 country of birth is required.
Parent 1 city, town, or village of residence is required.
Parent 1 country of residence is required.
Parent 2's Information
Parent 2 family name is required.
Parent 2 given name is required.
Enter Parent 2's date of birth.
Parent 2 country of birth is required.
Parent 2 city, town, or village of residence is required.
Parent 2 country of residence is required.
Additional Information About You (Petitioner)
Certificate number is required.
Place of issuance is required.
Enter a valid certificate date of issuance.
Class of admission is required.
Enter a valid date of admission.
City or town of admission is required.
State of admission is required.
Employment History
Provide your employment history for the last five years. Provide your current employment first.
Employer 1
Employer 1 name is required unless you are unemployed.
Employer 1 street number and name is required.
Unit number is required when Apt., Ste., or Flr. is selected.
Employer 1 city or town is required.
State is required for a U.S. employer address.
Enter a valid ZIP Code.
Employer 1 country is required.
Employer 1 occupation is required.
Enter a valid Date From for Employer 1.
Employer 2
Complete this employer if you had another employer during the last five years.
Employer 2 name is required when Employer 2 is provided.
Employer 2 street number and name is required when Employer 2 is provided.
Unit number is required when Apt., Ste., or Flr. is selected.
Employer 2 city or town is required when Employer 2 is provided.
State is required for a U.S. employer address.
Enter a valid ZIP Code.
Employer 2 country is required when Employer 2 is provided.
Employer 2 occupation is required when Employer 2 is provided.
Enter a valid Date From for Employer 2.
Enter a valid Date To for Employer 2.