请教8老师，
I 485 REF 信中收到Record of Sworn Statement (fingerprints) 表格，其中的前几项不知道怎么填写，
Applicant Name________
File No._________
Executed At______
Before the following officer of the U.S. Citizenship & Immigration Srvices:__________(Name and Title)
in the ________Language. Interpreter_________used.
多谢了！