IMMIGRATION • TAX • BUSINESS SERVICES

MAMATRAVEL USA & SERVICES LLC

K-1 Visa Client Intake

We Speak Your Language • We Serve Your Community.

(346) 561-7766 info@mamatravel.net mamatravel.net2500 Wilcrest Dr., Suite 300, Houston, TX 77042

U.S. Citizen Petitioner

Complete only your own form. Required fields are marked with *.

Personal Information

Full legal name *Other names usedDate of birth *City, state, and country of birth *A-Number, if anyUSCIS online account number, if anyU.S. citizenship obtained through *

Contact and Address History

Phone number *Email address *Current physical address *Date residence beganAll addresses during the last five years, including dates

Employment and Financial Information

Current employer or retirement-income sourceOccupation or retired statusEmployer or payer addressCurrent annual gross incomeHousehold sizeList Social Security, pension, retirement, employment, and other income

Marriage, Children, and Petition History

Have you ever been married? *Do you have children? *List all prior spouses, marriage dates, places, and how each marriage endedList every child’s name, date of birth, birthplace, and addressHave you filed a fiancé or spousal petition before?Explain every previous immigration petition

Criminal and Legal History

Have you ever been arrested, cited, charged, or convicted? *Have you ever been subject to a protection or restraining order?Explain every incident, including dates, charges, court, and final outcome

Relationship Information

Beneficiary’s full legal name *Date you first communicatedDate first met in personLocation first met in personDate most recently togetherPlanned wedding city and stateExplain how the relationship began and developed *List every in-person visit with dates and locationsDo you intend to marry within 90 days after entry? *

Certification and Electronic Signature

I certify that I personally reviewed this petitioner intake form and that the information is true and complete to the best of my knowledge. I understand that additional information or records may be requested.

Signer’s full legal name *Signer’s email address *

Draw your electronic signature *

Typing a name is not recognized as a signature.

Signature date *