14. If you have EVER used a different DOB, or had a different DOB listed in connection with any legal document, please list those dates here:*
15. Town / City / Village of Birth*
16. Birth State / Province*
17. Country of Birth*
18. Country of Citizenship / Nationality*
19. Passport Number *
20. Date Passport Was Issued (MM/DD/YYYY) *
21. Date Passport Expires (MM/DD/YYYY)*
22. Country that Issued Passport*
23. "A" Number
"A" number is the Alien Registration number assigned to an immigrant. Not everyone has an A number. It depends on whether certain immigration filings have been made by or involving the individual. If you have been assigned an "A" number, it is normally reflected on your I-140 and / or I-485 receipt / approval notice. Sometimes people notice what seems to be an "A" number on an Employment Authorization Document (EAD) issued to students for Optional Practical Training (OPT). This is not a permanent "A" number. It is a temporary file number, and should not be viewed as a person's "A" number as requested by the USCIS in various forms.
Please enter the numbers only. Example: 123456789. If you do not have an "A" Number, please enter N/A.
24. U.S. Social Security Number (SSN)
BIOGRAPHIC INFORMATION
25. I-94 Number (Arrival-Departure Document)
26. Current Nonimmigrant Status (Select One)*
27. Date Status Expires (MM/DD/YYYY)*
28. Date of Last Entry into the U.S. (MM/DD/YYYY)*
29. Place of Last Entry into the U.S. (City, State)*
BIOGRAPHIC INFORMATION
30. Ethnicity*
31. Race*
32. Height (Feet) - If you are 5 foot 7 inches, the answer for this field is 5. *
33. Height (Inches) - If you are 5 foot 7 inches, the answer for this field is 7.*
34. Weight (lbs.)*
35. Eye Color*
36. Hair Color*
LAST PERMANENT RESIDENCE OUTSIDE THE UNITED STATES
