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G-325 A Questionnaire
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  • Your First Name*:  

  • Your Last Name*:  

  • Gender*:  

  • Date of Birth*:  

  • City of Birth*:  

  • State of Birth*:  

  • Country of Birth*:  

  • Nationality*:  

  • A Number*:  

  • Social Security Number*:  

  • Father's First Name*:  

  • Father's Last Name*:  

  • Father's Date of Birth*:  

  • Father's City of Birth*:  

  • Father's State of Birth*:  

  • Father's Country of Birth*:  

  • Is your father still living?*:  

  • Father's City of Residence*:  

  • Father's State of Residence*:  

  • Father's County of Residence*:  

  • Mother's First Name*:  

  • Mother's Last Name*:  

  • Mother's Date of Birth*:  

  • Mother's City of Birth*:  

  • Mother's State of Birth*:  

  • Mother's Country of Birth*:  

  • Is your mother still living?*:  

  • Mother's City of Residence*:  

  • Mother's State of Residence*:  

  • Mother's County of Residence*:  

  • Your Spouse's First Name*:  

  • Your Spouse's Last Name*:  

  • Your Spouse's Date of Birth*:  

  • Your Spouse's City of Birth*:  

  • Your Spouse's State of Birth*:  

  • Your Spouse's Country of Birth*:  

  • Date of Marriage*:  

  • City of Marriage*:  

  • State of Marriage*:  

  • Country of Marriage*:  

  • Former Spouses (if any). Please list their full name (including maiden), their date of birth, City, State and Country of Birth, the date of termination of marriage and place of termination of marriage*:  

  • Complete Residence for the last 5 years. Please make sure you include the Street & Number, City, State and Country as well as the time that you lived there.*:  

  • Your last address outside of the United States for more than one year.*:  

  • Your employment for the last five years. Please include the full name and address of your employer, your occupation, and the dates of employment.*:  


  • Please enter the security code below: