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Department of Defense Biographic Information (United States)

This form is for Department of Defense biographic information for the United States. The form provided here is simply a sample of what the actual Form G-325B looks like.

U.S. Department of Justice
Immigration and Naturalization Service

Biographic Information

___________________________________ (Family name)

___________________________________ (First name)

___________________________________ (Middle name)

____ MALE ____ FEMALE

BIRTHDATE (Mo.-Day-Yr.) ___________________________________

NATIONALITY ___________________________________

FILE NUMBER A___________________________________

ALL OTHER NAMES USED (Including names by previous marriages) ___________________________________

CITY AND COUNTRY OF BIRTH ___________________________________

SOCIAL SECURITY NO. (If any) ___________________________________

FATHER

FAMILY NAME ___________________________________

FIRST NAME ___________________________________

DATE, CITY AND COUNTRY OF BIRTH (If known) ___________________________________

CITY AND COUNTY OF RESIDENCE ___________________________________

MOTHER (Maiden name)

FAMILY NAME ___________________________________

FIRST NAME ___________________________________

DATE, CITY AND COUNTRY OF BIRTH (If known) ___________________________________

CITY AND COUNTY OF RESIDENCE ___________________________________

HUSBAND OR WIFE (If none, so state)

FAMILY NAME ___________________________________ (For wife, give maiden name)

BIRTHDATE ___________________________________

CITY & COUNTRY OF BIRTH ___________________________________

DATE OF MARRIAGE ___________________________________

PLACE OF MARRIAGE ___________________________________

FORMER HUSBANDS OR WIVES (if none, so state)

FAMILY NAME ___________________________________ (For wife, give maiden name)

FIRST NAME ___________________________________

BIRTHDATE ___________________________________

DATE & PLACE OF MARRIAGE ___________________________________

DATE & PLACE OF TERMINATION OF MARRIAGE ___________________________________


APPLICANT'S RESIDENCE LAST FIVE YEARS. LIST PRESENT ADDRESS FIRST.

STREET AND NUMBER ___________________________________

CITY ___________________________________

PROVINCE OR STATE ___________________________________

COUNTRY ___________________________________

FROM MONTH _______________ YEAR _________

TO PRESENT TIME


STREET AND NUMBER ___________________________________

CITY ___________________________________

PROVINCE OR STATE ___________________________________

COUNTRY ___________________________________

FROM MONTH _______________ YEAR _________

TO MONTH _______________ YEAR _________


STREET AND NUMBER ___________________________________

CITY ___________________________________

PROVINCE OR STATE ___________________________________

COUNTRY ___________________________________

FROM MONTH _______________ YEAR _________

TO MONTH _______________ YEAR _________


APPLICANT'S LAST ADDRESS OUTSIDE THE UNITED STATES OF MORE THAN ONE YEAR

STREET AND NUMBER ___________________________________

CITY ___________________________________

PROVINCE OR STATE ___________________________________

COUNTRY ___________________________________

FROM MONTH _______________ YEAR _________

TO MONTH _______________ YEAR _________


APPLICANT'S EMPLOYMENT LAST FIVE YEARS. (IF NONE, SO STATE) LIST PRESENT EMPLOYMENT FIRST

FULL NAME AND ADDRESS OF EMPLOYER ___________________________________

OCCUPATION (SPECIFY) ___________________________________


FROM MONTH _______________ YEAR _________

TO PRESENT TIME


FULL NAME AND ADDRESS OF EMPLOYER ___________________________________

OCCUPATION (SPECIFY) ___________________________________

FROM MONTH _______________ YEAR _________

TO MONTH _______________ YEAR _________


FULL NAME AND ADDRESS OF EMPLOYER ___________________________________

OCCUPATION (SPECIFY) ___________________________________

FROM MONTH _______________ YEAR _________

TO MONTH _______________ YEAR _________

Show below last occupation abroad if not shown above. (Include all information requested above.)

___________________________________


THIS FORM IS SUBMITTED IN CONNECTION WITH APPLICATION FOR

____ NATURALIZATION

____ STATUS AS PERMANENT RESIDENT

____ OTHER (SPECIFY): ___________________________________

If serving or ever served in the Armed Forces of the United States, complete the following:

Branch of Service ___________________________________

Rank ___________________________________

Service Number ___________________________________

To Other Agency: Please furnish on the reverse of this form, or by attachment hereto, any derogatory information that may be contained in your records concerning the above person, for use in connection with consideration of above application and return to U.S. Immigration and Naturalization Service.

----------------------------------

AINS USE (Office of Origin)

Office Code ___________________________________

Type of Case ___________________________________

Date ___________________________________

Mail to:

Director, United States Army
Investigative Records Repository
ATTN: ICIRR-A
Fort Meade, Maryland 20755
ATTENTION: Liaison Office
U.S. Citizenship and Immigration Services

----------------------------------


Date ___________________________________ 20_____

Date of entry into service ___________________________________

Date of separation ___________________________________

Service number ___________________________________

The records of this Department show the following with respect to the subject of your inquiry:

All organizations, clubs or societies in the United States, or in any other country, of which subject was a member at any time, and dates thereof. (If none, show "None".)

___________________________________

All arrests, convictions, disciplinary actions, court martial proceedings, and illegal or immoral conduct in which subject involved, including dates and results thereof. (If none, show "None".)

___________________________________

Details of any oral or written statements, conduct, behavior or associations of the subject which may indicate belief in, advocacy of or preference or sympathy for Communism or any other foreign ideology inconsistent with loyalty to the United States or the form of government of the United States or attachment to the principles of the United States Constitution. (If none, show "None".)

___________________________________

Additional information or references.

___________________________________

I certify that the information here given concerning the person named is correct according to the records of the

___________________________________ (Name of Department or organization)

Official signature ___________________________________

By ___________________________________

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