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Client Information Form

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                                              FOR US IMMIGRATION ONLY

     
Legal Name (Last Name First Middle)
Date of Birth (mm/dd/yy)

Other names used
 
Citizen of
Nationality
 
Place of Birth (City, State, Country)
Permanent address abroad
 
     
Passport and Visa Information
     
Means of travel into U.S.
 
I-94#
 
Date of arrival
Arrival at
 
Visa Class
     
Passport (Country, Number, Issuance Date, Expiration Date)

     
Visa Stamp (Consulate Issued, Number, Issuance Date, Expiration Date)
     
Employment: last 5 years
     
Name of the Company - City, Country - Occupation/Job Title - Start & End Date

     
Last Employer abroad - Name - City - State - Country - Occupation - mm/yy
 
 
Family: Spouse and all children (Full Name - Relationship - Date of Birth - Place of Birth - Current Address
 
     
Father - U.S. Citizen
U.S. Permanent Resident
Mother - U.S. Citizen
U.S. Permanent Resident
DOB Child - U.S. Citizen
U.S. Permanent Resident
DOB Child - U.S. Citizen
U.S. Permanent Resident
DOB Child - U.S. Citizen
U.S. Permanent Resident
Education (School - City, Stata - Country - Field of Study - From/to (mm/yy) Degree  
     
 
I hereby certify that the above information is true and correct to the best of my knowledge.
     
 
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6100 CORPORATE DRIVE, SUITE 590
HOUSTON, TEXAS 77036
 
Telephone: (713) 771-9988 Facsmile:(713) 771-9987 www.alionan.com

 
 
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