OMB No.

1615-0008; Expires 06/30/2011

Department of Homeland Security
U.S. Citizenship and Immigration Services G-325A, Biographic Information

(Family Name) (First Name) (Middle Name) Male Date of Birth Citizenship/Nationality File Number
(mm/dd/yyyy)
DOE JANE NONE Female 07/30/1976 MALAYSIAN A NONE
All Other Names Used (include names by previous marriages) City and Country of Birth U.S. Social Security # (if any)
NONE PENANG MALAYSIA NONE

Family Name First Name Date of Birth City, and Country of Birth City and Country of Residence
(mm/dd/yyyy) (if known)

Father DOE JOHN 08/12/1946 PENANG MALAYSIA PENANG MALAYSIA

Mother
(Maiden Name) CHAN JENNIFER 12/09/1948 PENANG MALAYSIA PENANG MALAYSIA
Current Husband or Wife (If none, so state) First Name Date of Birth City and Country of Birth Date of Marriage Place of Marriage
Family Name (For wife, give maiden name) (mm/dd/yyyy)
WASHINGTON MARK 07/17/1975 LOS ANGELES USA 12/15/2010 PENANG MALAYSIA
Former Husbands or Wives (If none, so state) First Name Date of Birth Date and Place of Marriage Date and Place of Termination of
Family Name (For wife, give maiden name) (mm/dd/yyyy) Marriage
NONE N/A N/A N/A N/A
NONE N/A N/A N/A N/A
Applicant's residence last five years. List present address first.
From To
Street and Number City Province or State Country
Month Year Month Year
11 PENANG ROAD GEORGE TOWN PENANG MALAYSIA MAR 2010 Present Time

11 SINGAPORE ROAD SINGAPORE SINGAPORE SINGAPORE APR 2006 MAR 2010

22 PENANG ROAD GEORGE TOWN PENANG MALAYSIA SEP 2003 APR 2006
N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A

Applicant's last address outside the United States of more than 1 year.
From To
Street and Number City Province or State Country
Month Year Month Year
11 PENANG ROAD GEORGE TOWN PENANG MALAYSIA MAR 2010

Applicant's employment last five years. (If none, so state.) List present employment first.
From To
Full Name and Address of Employer Occupation (Specify)
Month Year Month Year
PENANG COMPANY SENIOR MANAGER MAR 2010 Present Time
SINGAPORE COMPANY MANAGER APR 2006 MAR 2010
PENANG COMPANY ASSISTANT MANAGER SEP 2003 APR 2006
N/A N/A N/A N/A
N/A N/A N/A N/A
Last occupation abroad if not shown above. (Include all information requested above.)
INCLUDED ABOVE
This form is submitted in connection with an application for: Signature of Applicant Date
Naturalization Other (Specify): FORM I-130 01/31/2011
Status as Permanent Resident
If your native alphabet is in other than Roman letters, write your name in your native alphabet below:

Penalties: Severe penalties are provided by law for knowingly and willfully falsifying or concealing a material fact.
Applicant: Print your name and Alien Registration Number in the box outlined by heavy border below.
Complete This Box (Family Name) (Given Name) (Middle Name) (Alien Registration Number)
DOE JANE NONE A NONE
Form G-325A (Rev. 06/12/09)Y