Oasis For Immigrants

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CITIZENSHIP QUESTIONNAIRE

1)  Your Full Name                                                        CITIZENSHIP QUESTIONNAIRE

2) Birth Day Of Your Mother

3) Birth Day Of Your Father

4) Maiden Name Of Your Mother

5) Your Mother's Full Name

6) Your Father's Full Name

11) All Names Used By You Including Your Prior Marriages

12) List Address, Month And Year Of All Place Of Residence For The Last 5 Years. Start With Your Current Address.

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

13) List Full Name and Address Of Employer For The Last 5 Years, List Month And Year. Start with your current employer.

 

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

Month Day Year Start

Month Day Year Stop

14) Full Name of All Your Previous Spouses, Date Of Birth, Date Of Marriage, Place Of Marriage, Date Of Divorce/Death, Place Of Divorce. 

Date Of Birth

Date Of Marriage

Date Of Divorce/Death

Date Of Birth

Date Of Marriage

Date Of Divorce/Death

Date Of Birth

Date Of Marriage

Date Of Divorce/Death

Date Of Birth

Date Of Marriage

Date Of Divorce/Death

20) Date Of VISA Issued

22) Full name of your present spouse

24) Current Spouse Previous names used.

25) Date Of Birth of Your Present Spouse

29) Your Date Of Birth

30)Full Name, Date Of Birth and Address Of All Your Children (even if they are adults)

Full Name OF Child 1

Date Of Birth

Full Name OF Child 2

Date Of Birth 

Full Name OF Child 3

Date Of Birth 

Full Name OF Child 4

Date Of Birth 

Full Name OF Child 5

Date Of Birth 

Full Name OF Child 6

Date Of Birth 

Full Name OF Child 7

Date Of Birth 

Full Name OF Child 8

Date Of Birth 

31) Immigration Status Of Your Present Spouse. When He/She Became Citizen

32) Country Of citizenship of your previous spouse ( answer only if you are applying for citizenship) 

34) Full name and date of birth of all  your spouse's previous spouse

Full name of previous spouse 1

Date of birth

Date of marriage

Date of divorce

Full name of previous spouse 2

Date of birth

Date of marriage

Date of divorce

Full name of previous spouse 3

Date of birth

Date of marriage

Date of divorce

Full name of previous spouse 4

Date of birth

Date of marriage

Date of divorce

Full name of previous spouse 5

Date of birth

Date of marriage

Date of divorce

 47) Is your mother a U.S citizen date: When She Became Us Citizen 

 48) Is your father a U.S citizen date: When He Became Us Citizen 

49) Your Height

58) Date of last marriage

59) How many out of country trips you have taken for the last 5 years -Give the month, year, country and the amount of days you spent on each visits

Date you left

Date you return

Date you left

Date you return

Date you left

Date you return

Date you left

Date you return

Date you left

Date you return

Date you left

Date you return

Date start living there

61) Date of last entry in the USA

63) The name and address of last employment before you came to the USA

Date start working:

Date stop working:

Name Of Person

Name Of Person

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