Form I-129F 11/07/18 Page 1 of 13 Petition for Alien Fianc351(e) Department of Homeland Security U.S. Citizenship and Immigration Services ResubmittedInitial Receipt For USCIS Use Only USCIS Form I-129F OMB No. 1615-0001 Expires 11/30/2020START HERE - Type or print in black ink. Part 1. Information About You6.a.Family Name (Last Name) 6.b.Given Name (First Name) 6.c.Middle Name CompletedSentReceivedApprovedReturnedCase ID NumberPersonal InterviewDocument CheckPreviously ForwardedField Investigation A-NumberG-28 NumberThe petition is approved for status under Section 101(a)(15)(K). It is valid for 4 months and expires on:AMCON:General WaiverRemarks Action BlockRelocatedFee StampReason ApprovedDenied ApprovedDenied Yes Extraordinary Circumstances WaiverReason Mandatory WaiverReasonApprovedDenied No IMBRA disclosure to the beneficiary required? A-Alien Registration Number (A-Number) (if any)1.U.S. Social Security Number (if any)3. Your Full NameSelect one box below to indicate the classification you are requesting for your beneficiary: Fianc351(e) (K-1 visa) Spouse (K-3 visa)4.a.4.b.If you are filing to classify your spouse as a K-3, have you filed Form I-130?5. Yes NoUSCIS Online Account Number (if any)2. 7.b. Given Name (First Name) Your Mailing Address (USPS ZIP Code Lookup)8.b. 8.d. 8.e.8.g.8.i.8.a. 8.c.8.h.7.c. Middle Name Other Names UsedProvide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.7.a.Family Name (Last Name) 8.j.Is your current mailing address the same as your physical address? Yes NoIf you answered "No," provide your physical address in Item Numbers 9.a. - 9.h.City or TownProvinceCountry Postal Code ZIP Code8.f.StateStreet Number and Name Flr. Apt. Ste. In Care Of Name American LegalNet, Inc. www.FormsWorkFlow.com Form I-129F 11/07/18 Page 2 of 13 Your Address History9.a. 9.c. 9.d.9.b.9.f. Part 1. Information About You (continued)9.h.10.a. Date To (mm/dd/yyyy)10.b.9.g. City or TownProvinceCountry Postal Code ZIP Code9.e.StateStreet Number and Name Provide your physical addresses for the last five years, whether inside or outside the United States. Provide your current address first if it is different from your mailing address in Item Numbers 8.a. - 8.i. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.Physical Address 1Date From (mm/dd/yyyy) 11.a. 11.c. 11.d.11.b.11.f.11.h.12.a. Date To (mm/dd/yyyy)12.b.11.g.City or TownProvinceCountry Postal Code ZIP Code11.e.StateStreet Number and Name Flr. Apt. Ste. Physical Address 2Date From (mm/dd/yyyy) Your Employment HistoryProvide your employment history for the last five years, whether inside or outside the United States. Provide your current employment first. If you need extra space to complete this section, use the space provided in Part 8. Additional Information. Full Name of Employer13.14.a. 14.c. 14.d.14.b.14.f.14.h.16.a. 16.b.14.g.City or TownProvinceCountry Postal Code ZIP Code14.e.StateStreet Number and Name Flr. Apt. Ste. Employment Start Date (mm/dd/yyyy)Employment End Date (mm/dd/yyyy) Employer 2 Your Occupation (specify)15.Employer 1 Full Name of Employer17.18.a. 18.c. 18.d.18.b.18.f.18.h.18.g.City or TownProvinceCountry Postal Code ZIP Code18.e.StateStreet Number and Name Flr. Apt. Ste. Your Occupation (specify)19. Flr. Apt. Ste. American LegalNet, Inc. www.FormsWorkFlow.com Form I-129F 11/07/18 Page 3 of 13 Part 1. Information About You (continued)20.a. 20.b.Employment Start Date (mm/dd/yyyy)Employment End Date (mm/dd/yyyy) 24.City/Town/Village of Birth 25. Country of Birth26.Province or State of Birth 23.Marital Status Widowed Divorced Single Married22.Date of Birth (mm/dd/yyyy) 21.Gender Male Female Other Information Information About Your Parents 27.a.Family Name (Last Name) 27.b. Given Name (First Name) 27.c. Middle Name Parent 1's Information28.Date of Birth (mm/dd/yyyy) 29.Gender Male Female 31.b.Country of Residence Country of Birth30.31.a.City/Town/Village of Residence 32.a.Family Name (Last Name) 32.b. Given Name (First Name) 32.c. Middle Name Parent 2's Information33.Date of Birth (mm/dd/yyyy) 34.Gender Male Female 36.b.Country of Residence Country of Birth35.36.a.City/Town/Village of Residence If you answered "Yes" to Item Number 37., provide the names of each spouse and the date that each prior marriage ended in Item Numbers 38.a. - 39. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.Have you ever been previously married? 37. Yes No Name of Previous Spouse38.a.Family Name (Last Name) 38.b. Given Name (First Name) 38.c. Middle Name 39.Date Marriage Ended (mm/dd/yyyy) Your Citizenship InformationYou are a U.S. citizen through (select only one box):40.a. Birth in the United States40.b. NaturalizationU.S. citizen parents 40.c.Have you obtained a Certificate of Naturalization or a Certificate of Citizenship in your own name?41. Yes NoIf you answered "Yes" to Item Number 41., complete Item Numbers 42.a. - 42.c. American LegalNet, Inc. www.FormsWorkFlow.com Form I-129F 11/07/18 Page 4 of 13 Part 1. Information About You (continued) Certificate Number Place of Issuance42.a.42.b.Date of Issuance (mm/dd/yyyy)42.c. 45.a.Family Name (Last Name) 45.b.Given Name (First Name) 45.c.Middle Name Date of Filing (mm/dd/yyyy)46. What action did USCIS take on Form I-129F (for example, approved, denied, revoked)?47.If you answered "Yes" to Item Number 43., provide the responses to Item Number 44. - 46. for each previous beneficiary. If you need to provide information for more than one beneficiary, use the space provided in Part 8. Additional Information.A-A-Number (if any)44.Have you ever filed Form I-129F for any other beneficiary?43. Yes No Additional InformationIf you answered "Yes" to Item Number 48., provide the ages for your children under 18 years of age in Item Numbers 49.a. - 49.b.Do you have any children under 18 years of age?48. Yes NoProvide the ages for your children under 18 years of age. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.49.a.Age 49.b.Age Provide all U.S. states and foreign countries in which you have resided since your 18th birthday. Residence 1 Country 50.b.50.a.State Residence 2 Country 51.b.51.a.State Part 2. Information About Your Beneficiary1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name A-A-Number (if any)2. Country of Birth8. 9.Country of Citizenship or Nationality 7.City/Town/Village of Birth 6.Marital Status Widowed Divorced Single Married U.S. Social Security Number (if any)3. 4.Date of Birth (mm/dd/yyyy) 5.Gender Male Female10.a.Family Name (Last Name) 10.b.Given Name (First Name) 10.c.Middle Name Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 8. Additional Information. Other Names Used American LegalNet, Inc. www.FormsWorkFlow.com Form I-129F 11/07/18 Page 5 of 13 Part 2. Information About Your Beneficiary (continued) Mailing Address for Your Beneficiary11.b. Street Number and Name11.d. City or Town11.e.State11.f. ZIP Code11.g.ProvinceIn Care Of Name11.a. Country11.i. 11.c.Apt. Flr. Ste. 11.h. Postal Code Your Beneficiary's Address History12.a. 12.c. 12.d.12.b.12.f.12.h.13.a. Date To (mm/dd/yyyy)13.b.12.g.City or TownProvinceCountry Postal Code ZIP Code12.e.StateStreet Number and Name Flr. Apt. Ste. Provide your beneficiary's physical addresses for the last five years, whether inside or outside the United States. Provide your beneficiary's current address first if it is different from the mailing address in Item Numbers 11.a. - 11.i. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.Beneficiary's Physical Address 1Date From (mm/dd/yyyy) 14.a. 14.c. 14.d.14.b.14.f.14.h.15.a. Date To (mm/dd/yyyy)15.b.14.g.City or TownProvinceCountry Postal Code ZIP Code14.e.StateStreet Number and Name Flr. Apt. Ste. Beneficiary's Physi