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Transcription

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OMB No. l615-0008; Exp. 05/31/09
Department of Homeland Security
U.S. Citizenship and Immigration Services
G-325A, Biographic Information
Name)
William
(Family Name)
BAHN
(First
All Other Names Used (Including
(Middle Name)
l!!lMale
Louis
I lfemal( 0v26t1965
C
itizenship/ltlationality File Number
523-t9-4251
City and Country ofResidence
Donald
(lf known)
0413011927 Cornish, CO, USA
Betty
1211111926 Denver, CO, USA
Deceased
Date, City and Country of Birth
First Name
BAIIN
(none)
U.S. Social Security # (lf any)
Grand Junction. CO. USA
Family Name
A
United States
City and Country of Birth
names by previous marriages)
Bill Bahn
Father
Birth Date (mm/ddfyyy
Deceased
Mother
(Maiden Name) ROBERTS
Husbmd or Wife
so
(lfnone, Fmily Nme
state.)
Birth Date
First Name
shih-Yi
CHIEN
Husbmds or Wives (lf none, so state
Fmily Nme (For wife, give miden nme)
Foms
First
Date
of Maniagr
(mm/dd/yyyy)
(For wife, give miden nme)
W]FE
3ity and Country of Birth
Name
03t061r974
Birth Date
l(mm/dd/ww'l
I
Colorado Springs,
taipei, Taiwan, ROC
Date and Place of Marriage
Place of Marriage
t2n2t2008
CO, USA
Date and Place of Termination of Marriage
(none)
(none)
Aoolicant's residence last Iive vears. List Dresent address lirst,
City
Street and Number
To
From
Country
Province or State
Month
13199 Andiron Way
Larkpur
Colorado
USA
SEP
2008
1933 Dublin Blvd
Colo. Springs
Colorado
USA
AUG
1998
N/A
N/A
N/A
N/A
Aoolicant's last address outside the United States of more than one vear.
C'ty
Slreet and Number
Dynasys Technical Services,
13
Proprietor
Black Forest Engineering, LLC, | 879 Austin Bluffs Pkwy, C/S. CO, USA 80918
USAF Academy/DFCS,2354 Fairchild Drive, USAFA, CO, USA 80840
Senior Eneineer
Univ. of Colo, Colorado Springs, 1420 Austin Bluffs Pkwy, C/S, CO, 80918
N/A
Honoraria Instructor
Show below
llst occupation abroad if not shown
N/A
lXl
Naturalization
f
otheriSpeciry):
Status as Permanent Resident
Submit all copies of this form.
Instructor
Month
Year
Month
Year
To
Year
Present Time
MAY
MAY
t99l
2006
NOV
AUG
2008
AN
AN
2002
DEC
2006
t995
2008
above. (lnclude all information requested above,)
This form is submitted in connection with an application for:
tr
To
Month
Y
From
Occupation (Specify)
199 Andiron Way, Larkspur, CO, USA 801 18
2008
SEP
ear
MOnUr
N/A
Applicant's employment last five years. (If none, so state.) List present employment first.
Full Name and Address of Employer
Present Time
From
Country
Province or State
Year
Month
Year
t"Z
Date
_
e;/ts-/zrip
7
Ifyour native alphabet-is in other than Roman letters, write your name in your native alphabet belorv:
N/A
Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact.
AppliCant:
Be su.e to put your name and Alien Registration Number in the box outlined by heavy border below.
Complete This Box (Family Name)
(Given Name)
(Middle
BAHN
William
Louis
(1) ldent.
See
Instructions on Page 5
Name)
(Alien Registration Number)
N/A
Form G-325A (Rev.
07 |
| 4106)Y
OMB No. l61 5-0008; ExP. 05/31/09
U.S. Citizenship and lmmigration Services
Name)
BAHN
G-325 A, Biographic Information
Name)
William
(Family
(Middle Name)
(First
All Other Names Used (lncluding
Louis
ffi ude lBirth oate (mm/dd/pyy)l CitizenshipNationality I File Number
l-l nemalel0l/26l1965 lUnited States lA (none)
U.S. Social Security # (lf any)
523-19-4251
Grand Junction, CO, USA
Bill Bahn
Donald
(lf known)
0413011927 Comish, CO, USA
Betty
1211111926 Denver, CO, USA
Deceased
First Name
Family Name
Father 941111
Date, City and Country of Birth
Deceased
Mother
Husbmd orWife(tfnone, FmilyNme
state.)
WIFE
Birth Date
First Name
shih-Yi
CHIEN
Fomer Husbmds or wives (lf none, s state
Fmily Nme (For wife, give miden nme)
First Name
Date of
Maniag
(mm/dd/pyy)
(For wife, give maiden name)
so
03t06n974
Birth Date
(mm/dd/vwl
Taipei, Taiwan, ROC
r2/12t2008
Place of Maniage
Colorado Springs,
CO, USA
(none)
(none)
City
Street and Number
Counfy
Province or State
Month
Larkspur
Colorado
USA
SEP
2008
1933 Dublin Blvd
Colo. Springs
Colorado
USA
AUG
1998
N/A
N/A
NiA
N/A
Annlicant's last address outside the United States of more than one vear.
City
Present Time
2008
SEP
From
Country
Province or State
Month
Year
Month
Year
13199 Andiron Way
Street and Number
fo
From
Aonlicant's residence last five vears. List oresent address first.
To
Year
Month
Year
N/A
Apnlicantts emplovment last five vears. (If none, so state.) List present employment first.
Dynasys Technical Services, 13199 Andiron Way, Larkspur, CO, USA 801
l8
Black Forest Engineering, LLC,1879 Austin Bluffs Pkwy, C/S, CO, USA 80918
USAF Academy/DFCS, 2354 Fairchild Drive, USAFA, CO, USA 80840
N/A
Show below last occupation abroad
To
From
Month
Month
Year
Year
Present Time
l99l
Proprietor
MAY
Senior Eneineer
MAY
I 995
IAN
IAN
2006
NOV
AUG
2008
Instructor
2002
DEC
2006
2008
if not shown above. (Include all information requested above.)
N/A
Date
f]
I
Naturalization
Satus
f
Other(Specify):
a:./s/tatt 7
as Permanent Resident
lfyour native alphabet is in other than Roman letters, write your name in your native alphabet below:
NiA
Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact.
AppliCant:
Be sure to put your name and Alien Registration Number in the box outlined by heavy border below.
(Given Name)
(Middle
BAHN
William
Louis
(2) Rec. Br.
See Instructions on Page 5
Name)
N/A
Form G-325A (Rev.07ll4l06)Y Page2
OMB No. l615-0008: ExP.05/31/09
Depadment of Homeland Security
(Family Name)
BAHN
Name)
William
(Middle Name)
(First
All Other Names Used (lncluding
[]
l-l
Louis
names by previous maniages.;
Birth Date (mm/dd/yyyy)l CitizenshipNationality File Number
A (none)
0l/2611965
lUnited States
U.S. Social Security # (If anyl
523-19-425r
Donald
ofBirth (Ifknown)
Betty
1211111926 Denver. CO. USA
First Name
Father BAHN
Femak
Grand Junction. CO. USA
Bill Bahn
Family Name
uate
Date, City and Country
Deceased
Mother
Husbmd or Wife (lf none, Fmily Nme
First Name
e state.)
(For wiG, give maidm name)
WIFE
CHIEN
Fomer Husbmds o, Wiu", (If non
Fmily Nme
ffi
(For
wifs give
maiden
shih-Yi
(mm/ddiywy)
Taipei. Taiwan, ROC
I
Date of Marriag Place of Marriage
t2/t2t2008
03/06tr974
nmel I
Deceased
Birth Date
(mm/dd/yfyy)
Colorado Springs,
CO, USA
|
(none)
From
Aoolicant's residence last five vears. List Dresent address first.
City
Street and Number
Province or State
Country
13199 Andiron Way
Larkspur
Colorado
USA
1933 Dublin Blvd
Colo. Springs
Colorado
USA
Month
I
To
Month
Year
sEP I 2008
AUG | 1998
Year
Present Time
2008
SEP
N/A
N/A
N/A
N/A
From
Applicant's last address outside the United States of more than one vear.
ciw
Street and Number
Country
Province or State
Month
N/A
Apolicant's emplovment last five vears. (If none. so state.) List oresent emnlovment first.
l8
Month
Year
Month
Month
Year
To
From
Occupation (SpeciE)
Dynasys Technical Services, 13199 Andiron Way, Larkpur, CO, USA 801
To
Year
Year
Present Time
Senior Eneineer
MAY
MAY
l99t
Black Forest Engineering, LLC,1879 Austin Bluffs Pkwy, C/S, CO, USA 80918
USAF Academv/DFCS.2354 Fairchild Drive. USAFA. CO. USA 80840
IAN
2006
NOV
AUG
2008
Instructor
JAN
2002
DEC
2006
Proprietor
1995
2008
N/A
Show below last occupation abroad
ifnot
shown above. (Include all information requested above.)
N/A
This form is submitted in connection with an application for.
I
[]
NatLralization
!
Date
other(Specify):
az,/z;/zaot
Smtus as Permanent Resident
Ifyour native alphabet is in other than Roman letters, write your name in your native alphabet below:
N/A
Penalties: Severe penalties are provided by law for knowingly aod willfully falsifying or concealing a material fact.
AppliCant:
Be sure to put your name and Alien Registration Number in the box outtined by heavy border below.
(Given Name)
(Middle
BAHN
William
Louis
(3)
c.
See Instructions on Page 5
Name)
N/A
Form G-325A (Rev.07/14l06)Y Page 3
OMB No. 1615-0008; ExP. 05/31/09
(Family Name)
BAHN
Name)
William
(Middle Name)
(First
All Other Names Used (Including
Bill Baltn
Family Name
tr,tate I Birth oate 1-*/ddlyyyyll CitizenshipNationality I File Number
(none)
lunited
States ll
Grand Junction, CO, USA
Father BAHN
S
alFer.rratd0ll26ll965
Louis
lU.S. Social Securtty # (If any)
| 523-19-4251
First Name
Date, City and Country of Birth (If known)
City and Country of Residence
Donald
Deceased
Betty
1211111926 Denver. CO. USA
Mother
Husbmd or Wife (lf none, Fmily Nme
so
state.)
FirstName
shih-Yi
CHIEN
Deceased
Date of Marriag(
(mm/dd/ywy)
(For wife, give maiden nme)
WIFE
Fomer Husbmds or Wives ([f none, so state First Name
Fmily Nme
Birth Date
03/06n974
Birth Date
(mm/dd/ww)
(For wife, give maiden nme)
Iaipei, Taiwan, ROC
Date and Place of Marriase
12t12t2008
Place of Maniage
Colorado Springs,
CO, USA
Date and Place of Termination of Maniage
(none)
(none)
.oolicant's residence last live vears. List Dresent address lirst.
City
Street and Number
Country
Month
I
Larkspur
Colorado
USA
SEP
2008
1933 Dublin Blvd
Colo. Springs
Colorado
USA
AUG |
1998
N/A
N/A
N/A
N/A
Applicant's last address outside the United States of more than one year.
City
Month I
N/A
Aoplicant's emDlovment last five vears. (If none. so state.) List oresent emplovment first.
Dynasys Technical Services, 13199 Andiron Way, Larkspur, CO, USA 801
l8
Black Forest Engineering. LLC. 1879 Austin Blufls Pkwy. C/S, CO, USA 80918
USAF Academv/DFCS. 2354 Fairchild Drive. USAFA. CO. USA 80840
N/A
2008
SEP
To
Year
Month I
Year
Month
From
Full Name and Address of Emplover
Present Time
From
Country
Province or State
Year
Month
Year
13199 Andiron Way
Sfreet and Number
To
From
Province or State
To
Year
Month
Year
l99t
Senior Eneineer
MAY I
MAY |
Instructor
IAN
2006
NOV
AUG
2008
JAN | 2002
DEC
2006
Proprietor
1995
Present Time
2008
Show below last occupation abroad if not shown above. (Include all information requested above.)
N/A
This form is submitted in connection with an application for:
tr
lXl
Naturalization
!
Ottrer
lspecify):
Status as Permanent Resident
Date
_
anhs*daf
Ifyour native alphabet is in other than Roman letters, write your name in your native alphabet below
N/A
Penalties: Severe penalties are provided by law for knowingly and willfully falsi$ing or concealing a material fact.
AppliCant:
Be sure to put your name and Alien Registration Number in the box outlined by heavy border below.
(Given Name)
(Middle
BAHN
William
Louis
(4) Consulate
See
Instructions on Page 5
Name)
N/A
Form G-325A (Rev. 07 I | 4106)Y Page 4
Instructions
What Is the Purpose of This Form?
Complete this biographical information form and include it with the application or petition you are submitting to U.S.
Citizenship and Immigration Services (USCIS).
USCIS will use the information you provide on this form to process your application or petition. Complete and submit all
copies of this form with your petition or application.
If you have any questions on how to complete the form, call our National Customer Service Center at 1-800-375-5283.
Privacy Act Notice.
We ask for the information on this form and associated evidence to determine if you have established eligibility for the
immigration benefit you are seeking. Our legal right to ask for this information is in 8 USC 1101 and 1255. We may
provide this information to other Government agencies. Failure to provide this information may delay a final decision or
result in denial of your application or petition.
Paperwork Reduction Act Notice.
A
person is not required to respond to a collection
of information unless it displays a currently valid OMB control
number.
We try to create forms and instructions that are accurate, can be easily understood and that impose the least possible
burden on you to provide us with information. Often this is difficult because some immigration laws are very complex.
The estimated average time to gather the requested information, complete the form and include it with the appropriate
application or petition for filing purposes is 15 minutes. If you have any comments regarding the accuracy of this estimate
or suggestions for making this form simpler, write to U.S. Citizenship and Immigration Services, Regulatory
Management Division, l1 1 Massachusetts Avenue, N.W., Washington, D.C. 20529; OMB No. l6l5-0008. Do not send
your form to this Washington, D.C. address.
Form G-325A (Rev.07/14/06)Y Page 5

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Transcription

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