USCIS
Form I-129F
Action Block
Fee Stamp
Mandatory Waiver
General Waiver
Reason
Approved
Denied
Approved
Denied
Relocated
Initial Receipt
Received
Sent
Resubmitted
Reason
Completed
AMCON:
Reason
Personal Interview
Document Check
Remarks
Approved
Returned
Previously Forwarded
Field Investigation
No
IMBRA
Applies?
6.
Date of Birth
7.
Gender
8.
Rahul Gupta
2.c. Apt.
Ste.
Female
Widowed
Single
Divorced
Male
Marital Status
Married
(mm/dd/yyyy) 12/22/1974
Flr.
45
Edison
2.e. State NJ
2.f.
1 2 3 4 5 6 7 8 9
2.h. Province
2.i.
Country USA
3.
A4.
City/Town/Village of Birth
Budd Lake, NJ
5.
Country of Birth
USA
13.b.
Naturalization
13.c.
Parents
Have you ever filed for this or any other alien fianc(e) or
husband/wife before?
Yes
No
14.g. State
13.d.3. Date of Issuance
(mm/dd/yyyy)
14.h. Result
K-1 Fianc
Mumbai
K-3 Spouse
5.
Date of Birth
7.
Country of Citizenship
India
8.
Gender
9.
Marital Status
Married
456 Laurel St
Ste.
Flr.
78
Mumbai
3.e. State
3.f.
400 0001
3.h. Province
Maharashtra
Zip Code
(mm/dd/yyyy) 11/20/1975
6.
Country of Birth
India
3.c. Apt.
City/Town/Village of Birth
Male
Widowed
Female
Single
Divorced
3.i.
Country India
Page 2 of 6
Country of Birth
18.
Date of Birth
(mm/dd/yyyy)
19.b. Apt.
Ste.
Flr.
19.d. State
17.
No
19.g. Province
19.h. Country
Country of Birth
22.
Date of Birth
(mm/dd/yyyy)
(mm/dd/yyyy)
23.b. Apt.
23.d. State
Ste.
Flr.
23.g. Province
23.h. Country
Page 3 of 6
Country of Birth
Date of Birth
(mm/dd/yyyy)
32.b. Apt.
Ste.
32.f. Country
33.
27.g. Province
34.
Ste.
Flr.
No
Edison
28.d. State NJ
Yes
Ste.
456 Laurel St
Flr.
45
Mumbai
2014.
35.
912234567890
Maharashtra
No
Has your fianc(e) met and seen you within the 2-year
period immediately preceding the filing of this petition?
45
30.
Yes
29.b. Apt.
27.h. Country
28.b. Apt.
Flr.
Flr.
Ste.
N/A
Extension
No
Page 4 of 6
Mumbai
36.b. Country
India
Ste.
3.b.
3.c.
Flr.
Postal Code
1.g. Province
1.h. Country
2. Have you ever been convicted by a court of law (civil or
criminal) or court martialed by a military tribunal for any
of the following crimes:
2.a. Domestic violence, sexual assault, child abuse and
neglect, dating violence, elder abuse or stalking? (Please
refer to Page 3 of the instructions for the full definition of
the term "domestic violence").
Yes
No
2.b. Homicide, murder, manslaughter, rape, abusive sexual
contact, sexual exploitation, incest, torture, trafficking,
peonage, holding hostage, involuntary servitude, slave
trade, kidnapping, abduction, unlawful criminal restraint,
false imprisonment or an attempt to commit any of these
crimes?
Yes
No
2.c. Three or more convictions for crimes relating to a controlled
substance or alcohol not arising from a single act?
Yes
If your beneficiary is your fianc(e) and: (a) this is the third (or
more) Form I-129F petition that you have filed; or (b) this is the
third (or more) Form I-129F petition you have filed and your
first Form I-129F petition was approved within the last 2 years,
then your petition cannot be approved unless a waiver of the
multiple filing restriction is granted. Attach a signed and dated
letter, requesting the waiver and explaining why a waiver is
appropriate under your circumstances, together with any
evidence in support of the waiver request.
4.
No
Page 5 of 6
7324813053
3.
7325551212
4.
Part 5. Signature of Person Preparing This Petition, If Other Than the Petitioner
NOTE: If you are an attorney or representative, you must submit
a completed Form G-28, Notice of Entry of Appearance as
Attorney or Accredited Representative, along with this Petition.
Form G-28 submitted with this Petition.
Ste.
Flr.
G-28 ID Number
5.c. City or Town
5.f.
1.b. Preparer's Given Name (First Name)
2.
Postal Code
5.g. Province
5.h. Country
Declaration
4.
Extension
Page 6 of 6