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    Your Personal Information Form

Instructions: Please fill out the following form indicating to Dodds & Associates the information needed to evaluate your case. All the information provided to us is strictly confidential and shall not be shared with any third parties.

If you are asked to fill in a date, please indicate it in the following format: Month/Day/Year. E.g. 12/03/74

Family Name:
First Name:
Middle Name:
Telephone Number:
Email Address:
Permanent Address:
Street Address: (street name and number)
Zip Code:
Current Address (if differs from permanent):
Street Address: (street name and number)
Zip Code:
Personal Information
Date of Birth: (mm/dd/yy)
City of Birth:
Country of Birth:
Sex:Male  Female
Alien Number: (no spaces or dashes)
Social Security Number: (no spaces or dashes)
Tax ID Number: (no spaces or dashes)
Passport Number: (no spaces or dashes)
Date Passport Issued: (mm/dd/yy)
I-94 Number: (no spaces or dashes)
Current Status in US, if any:
Date Status Expires: (mm/dd/yy)
Family Information
Name of Spouse:
Name(s) of Children:
Parent US Citizen:
Brother / Sister Citizen:
Spouse Citizen or Permanent Resident:
Son / Daughter Citizen or Permanent Resident:
Education / Occupation:
Education Level:
High School: (number years attended)
Technical School: (number years attended)
Univeristy: (number years attended)
Degree(s) Obtained:     (BS, MS, PhD,..)
Current Occupation:
Name of Current Employer:
Years of Professional Experience:
Do you intend to study in the US?    
Do you intend to work in the US?    
Do you intend to live permanently in the US?    
Do you intend to form a company in the US?    
Comments that you might think pertinent to your immigration matters:

DISCLAIMER: Dodds & Associates have prepared the material on this website. It is only for general information, and does not constitute legal advice. The information is not intended to, and will not create an attorney-client relationship. We suggest that readers do not act on this information without engaging professional counsel. Do not send confidential information to us at the above e-mail address until it has been discussed with us and authorization has been given. While the information on this web site is maintained and periodically updated for accuracy, this information may contain omissions or errors for which we disclaim any liability. Dodds & Associates did not produce and is not responsible of the contents of off-site resources.

Copyright © Dodds & Associates 2003