Part 3: Information About the Principal Immigrant

Enter the principal immigrant's name, mailing address, citizenship, date of birth, and contact information.

1. Principal Immigrant's Full Legal Name

(Do not provide a nickname)

Family name is required.
Given name is required.

2. Current Mailing Address

Mailing street number and name is required.
Enter a unit number or clear the selected unit type.
Mailing city or town is required.
Enter a valid ZIP Code.
Mailing country is required.

Other Information

Country of citizenship or nationality is required.
Enter a valid date of birth.
Enter no more than 9 digits.
Enter no more than 12 digits.
Daytime telephone number is required.