I-140 Petition Information
1. Home address in the United States:
2. Mailing address in the United States, if different:
3. U.S. Social Security Number, if any:
4. Town/city and Country of birth:
5. Country or countries of citizenship, if different:
6. Country or countries of nationality, if different:
7. Have you applied for U.S. permanent residence before? If so, please provide details, including your
Alien Registration Number (A-Number):
8. What was your last country of permanent residence abroad?:
9. Current foreign address:
10. If your native alphabet is other than Roman letters, please write your name and foreign address in your
native alphabet:
First (given) name:
Middle name:
Last (family) name:
Mailing address (street, city, province, country, zip):
11. Have you ever been through deportation proceedings? If yes, explain:
12. Have you ever been arrested and/or convicted of anything here or abroad?:
13. What is your annual income?:
14. Do you currently hold a permanent position with your employer?:
15. Do you currently hold a full-time position with your employer? If not, please indicate the number of hours
you work per week:
16. Work address:
17. Do you have a spouse and/or children? If yes, please provide: names, date of birth, place of birth,
citizenship, and copies of all immigration documents: