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I-130A Application Form

I-130A Supplemental Information For Spouse Beneficiary

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Information About You (Beneficiary)
Name
Physical Address
Information About Parent 1
Full Name of Parent
Gender
Information About Parent 2
Full Name of Parent
Gender
Information About Your Employment

Employer 1

Information About Your Employment

Employer 2

Information About Your Employment Outside the United States
Beneficiary's Contact Information
Interpreter's Contact Information, Certification, and Signature

Interpreter's Full Name

Interpreter's Mailing Address
Interpreter's Contact Information
Contact Information, Declaration, and Signature of the Person Preparing this Form, if Other Than the Spouse Beneficiary
Preparer's Statement
Multiple Choice
Evidence
  • Birth Certificate Of Petitioner
  • Birth Certificate Of Beneficiary
  • Green Card Or Certificate Of Citizenship Or US Birth Certificate
  • If Prior Marriage (Divorce Certificate)
  • Marriage Certificate (If Through Marriage)

Bring the following evidence when you go to the U.S. Embassy or U.S. Consulate to submit your Form I-131A:

  • Your original passport;
  • One copy of your passport’s biographic page (showing your photograph and personal information);
  • Evidence that you are a lawful permanent resident;
  • A copy of your tickets, itinerary, or any other evidence indicating your most recent date of departure from the United States and the day you intend to return to the United States; and
  • One passport-style photograph of yourself taken within 30 days of filing this application.

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