Immigration qualification form - Law Office of Mahmud Yennes

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Immigration

Qualification Form

Below is a questionnaire to help us assess your situation. Fill the form to the best of your ability.

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Name *

First

Middle

Last

Do you identify yourself by any other name(s)? *

Yes
No

If Yes to the prior question, what other names do you identify?

U.S. Social Security Number (if any):

Alien Registration Number(s) (A-Number) (if any):

USCIS Online Account Number (if any):

Residence in the U.S. (physical Address): *

Mailing Address in the U.S. (if different than the address above):

Telephone Number: *

E-mail Address: *

Gender (Pick One): *

Marital Status (Pick One): *

Date of Birth (mm/dd/yyyy): *

City of Birth: *

Country of Birth: *

Present Nationality (Citizenship): *

Nationality at Birth: *

Race, Ethnic, or Tribal Group: *

Religion: *

Pick the one that applies on you: *

When did you last leave your country? (mm/dd/yyyy):

What is your current I-94 Number (if any)?

List each entry into the U.S. beginning with your most recent entry.

What country issued your last passport or travel document? *

Passport Number: *

Expiration Date(mm/dd/yyyy): *

Travel Document Number:

What is your native language? *

Are you fluent in English? *

What other languages do you speak fluently?

List your last address where you lived before coming to the U.S. *

Provide information about your residences during the past 5 years. (List your present address first). *

Provide information about your education. (Begin with the most recent school that you attended). *

Provide information about your employment during the past 5 years. (List your present employment first). *

Mothers Name *

First

Middle

Last

Living? (Pick No if passed away) *

City/Town of Birth? *

Country of Birth *

Current Location? *

Fathers Name *

First

Middle

Last

Living? (Pick No if passed away) *

City/Town of Birth? *

Country of Birth *

Current Location? *

Sibling(s) Information *

Are you doing or have you ever done anything illegal and or against the law anywhere in the world? *

Yes
No

If Yes, Explain:

Have you ever been arrested, convicted, or cautioned for a crime anywhere in the world for any reason, including driving violation, DIU, alcohol/drugs/consuming/smuggling etc. related offense? *

Yes
No

If Yes, Explain:

Have you ever been removed from or deported from the United States? *

Yes
No

If Yes, Explain:

Have you ever overstayed beyond the period authorized by U.S. immigration? *

Yes
No

If Yes, Explain:

Have you ever had any prior visa application denied? *

Yes
No

If Yes, Explain:

Do you have any essential information related to you or to your family members that you want to declare? *

Yes
No

If Yes, Explain:

Do you have any special talents, skills, inventions, abilities, or awards? *

Yes
No

If Yes, Explain:

Are you Married? *

Yes
No

Spouses Name

First

Middle

Last

Has spouse ever gone by another name?

Yes
No

If Yes, Explain:

[Spouse] Alien Registration Number (A-Number) (if any):

[Spouse] Passport/ID Card Number (if any):

[Spouse] Date of Birth (mm/dd/yyyy):

[Spouse] U.S. Social Security Number (if any):

[Spouse] Date of Marriage (mm/dd/yyyy):

Place of Marriage:

[Spouse] City and Country of Birth:

[Spouse] Nationality (Citizenship):

[Spouse] Race, Ethnic, or Tribal Group:

[Spouse] Gender

Male
Female

[Spouse] Is this person in the U.S.?

Yes
No

If No (Where at?)

If Yes - Place of last entry into the U.S:

If Yes - Date of last entry into the U.S. (mm/dd/yyyy):

If Yes - I-94 Number (if any):

If Yes - Status when last admitted (Visa type, if any):

If Yes - What is your spouse's current status?

If Yes - What is the expiration date of his/her authorized stay, if any? (mm/dd/yyyy):

Is your spouse in Immigration Court proceedings?

Yes
No

If Yes - If previously in the U.S., date of previous arrival (mm/dd/yyyy):

If Yes - If in the U.S., is your spouse to be included in this application?

Yes
No

Do you have children?

Yes
No

If Yes, How many children do you have?

Additional information or comments?

Email

Tampa Office

3702 W Spruce St #1076
Tampa, FL 33607

T: (813)461-4473
E: [email protected]

Mahmud Yennes, ESQ.

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Immigration

Qualification Form

Below is a questionnaire to help us assess your situation. Fill the form to the best of your ability.

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