Client
Information Form
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See Below.
FOR US IMMIGRATION ONLY
Legal
Name (Last Name First Middle)
Date
of Birth (mm/dd/yy)
Other
names used
Citizen
of
Nationality
Place
of Birth (City, State, Country)
Permanent
address abroad
Passport
and Visa Information
Means
of travel into U.S.
I-94#
Date
of arrival
Arrival
at
Visa
Class
Passport
(Country, Number, Issuance Date, Expiration
Date)
Visa
Stamp (Consulate Issued, Number, Issuance
Date, Expiration Date)
Employment:
last 5 years
Name
of the Company - City, Country - Occupation/Job
Title - Start & End Date
Last
Employer abroad - Name - City - State - Country
- Occupation - mm/yy
Family:
Spouse and all children (Full Name - Relationship
- Date of Birth - Place of Birth - Current
Address
Father
- U.S. Citizen
Mother
- U.S. Citizen
U.S. Permanent Resident
DOB
U.S. Permanent Resident
DOB
U.S. Permanent Resident
DOB
U.S. Permanent Resident
Education
(School - City, Stata - Country - Field of Study
- From/to (mm/yy) Degree
I
hereby certify that the above information
is true and correct to the best of my knowledge.
________________________________________________________________
