Immigration Law Questionnaire - Thomas P. Miller, P.C.
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Today's Date
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Which of the following do you authorize us to send you the following by e-mail
I. Applicant/Beneficiary
The non-US citizen/resident
Full name
E-mail
Alternate telephone number
Home address
Date of birth
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Employer name
Employment position
Nationality
What is your country of birth?
What is your city, town, or village of birth?
What is your mother's first name?
What is your father's first name?
Country that issued your passport
Passport issue date
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Passport expiration date
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If in the US, answer the applicable questions below
Date of entry into the US
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Status at entry into US
What is your class of admission?
A Number
Present status/visa
Where did you apply for your immigrant visa or adjustment of status? Provide the location of the U.S. Embassy, U.S. Consulate, or USCIS office where you applied for your immigrant visa or submitted your application for permanent resident status.
Where was your immigrant visa or adjustment of status issued? Provide the location of the U.S. Embassy, U.S. Consulate, or USCIS office that issued your immigrant visa or permanent resident status.
Did you enter the United States with an immigrant visa?
Date visa expires
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I-94 Card Number
Date I-94 expires
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DD
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II. Petitioner
The US employer or US citizen/permanent resident family member
Full name
E-mail
Telephone number
Home address
Social Security Number
Employer name
Employment position
Relationship to Sponsor
Status
If corporation, name of contact
III. Miscellaneous
Have you ever been placed in exclusion, deportation, or removal proceedings or been ordered removed from the United States?
Clear selection
Have you EVER abandoned your permanent resident status or been determined to have abandoned your status?
Clear selection
What is your ethnicity? *Hispanic or Latino refers to a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Clear selection
What is your race?
Clear selection
What is your height?
What is your weight?
How did you find us? Please provide name of person who referred you or website.
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