n-600, application for certificate of citizenship

N-600, Application for Certificate of CitizenshipDRAFT Not for
For USCIS
Use Only
I am an ADOPTED child of a U.S. citizen parent.I am a BIOLOGICAL child of a U.S. citizen parent.
This application is being filed based on the fact that: (Select only one box)
Part 1. Information About Your Eligibility Enter Your 9 Digit A-Number:
Date Stamp
Family Name (Last Name) Given Name (First Name) Middle Name
1.
Family Name (Last Name) Given Name (First Name)
Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above)2.
Middle Name
A-
U.S. Citizenship and Immigration Services
USCIS Form N-600

Middle NameGiven Name (First Name)Family Name (Last Name)
Other Names You Have Used Since Birth Provide all other names you have ever used, include nicknames, maiden name, and aliases.
3.
Country of Birth7.

NOTE: Provide information about yourself if you are an applicant applying for the Certificate of Citizenship. Provide information about your child if you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child.
NOTE: If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Gender Male Female
Attorney State Bar Number Select this box if Form G-28.
Attorney or Accredited Representative USCIS Online Account Number
Page 2 of 15Form N-600 11/08/19
DRAFT Not for
11. Physical Address
City or Town State ZIP Code + 4
-
10. Mailing Address
Other (Explain):
14. Information About Your Admission into the United States and Current Immigration Status
Marriage Annulled
Port-of-Entry
A.
Middle NameGiven Name (First Name)Family Name (Last Name)
NumberFlr.Ste.Apt.Street Number and Name
U.S. Armed Forces13.
NoYesAre you a member or veteran of any branch of the U.S. Armed Forces?
I used the following travel document to be admitted to the United StatesB.
Travel Document Passport
Passport Number Travel Document Number
Country of Issuance for Passport or Travel Document Date Passport or Travel Document Issued (mm/dd/yyyy)
DRAFT Not for
A-Part 2. Information About You (continued)
I obtained LPR status through adjustment of status in the United States or admission as a LPR. D.
Date I became a LPR (mm/dd/yyyy)
U.S. Citizenship and Immigration Services (USCIS) Office That Granted My LPR Status or Location Where I Was Admitted
NoYesHave you previously applied for a Certificate of Citizenship or U.S. Passport?15. If you answered "Yes" to Item Number 15., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
NoYes16. Have you ever abandoned or lost your LPR status? If you answered "Yes" to Item Number 16., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
NoYesWere you adopted?17. If you answered "Yes" to Item Number 17., complete Items A. - D.
Place of Final AdoptionA.
NoYesDid you have to be re-adopted in the United States?18. If you answered "Yes" to Item Number 18., complete Items A. - D.
Date of Final Adoption (mm/dd/yyyy)
B.
My most recent immigration status in the United States was:C.
A Lawful Permanent Resident (LPR) A Nonimmigrant
Other (Explain):
A Refugee/Asylee
NOTE: If you select “Other” and you need extra space to complete this section, use the space provided in Part 11. Additional Information.
StateCity or Town Country
C. Date Physical Custody Began (mm/dd/yyyy)
D.
C. Date Physical Custody Began (mm/dd/yyyy)
D.Date of Adoption (mm/dd/yyyy)
B.
NoYesWere your parents married to each other when you were born (or adopted)?19.
NoYesDid your parents marry after you were born?20.
NoYesDo you regularly reside in the United States in the legal and physical custody of your U.S. citizen parent(s), or, if over 18 years of age, did you regularly reside in the legal and physical custody of your U.S. citizen parent(s) before turning 18 years of age?
21.
DRAFT Not for
Date You Left the United States (mm/dd/yyyy)
A. Date You Returned to the United States (mm/dd/yyyy)
B.
D. Date You Returned to the United States (mm/dd/yyyy)
E.
2.
3.
Native Hawaiian or Other Pacific Islander
Not Hispanic or LatinoHispanic or Latino Ethnicity (Select only one box)1.
4. Weight Pounds
Other
Bald (No hair)
Unknown/ Other
Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
NoYesHave you been absent from the United States since you first arrived?22.
StateCity or Town
F. Place of Entry Upon Return to the United States
StateCity or Town
C. Place of Entry Upon Return to the United States
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father)
NOTE: Complete this section if you are claiming citizenship through a U.S. biological father (or adoptive father). Provide information about yourself if you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.
Current Legal Name of U.S. Citizen Father
1.
Asian
DRAFT Not for
Production 06/10/2020
A-Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father) (continued)
My father is a U.S. citizen by6.
A- Alien Registration Number (A-Number) Certificate of Citizenship Number
A- A-NumberCertificate of Naturalization Number
NoYesHas your father ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship?7.
If you answered “Yes” to Item Number 7., provide an explanation in Part 11. Additional Information.
What is your U.S. citizen father's current marital status?
DivorcedSingle, Never Married WidowedMarried Marriage Annulled Separated
Marital History8.
A. How many times has your U.S. citizen father been married (including annulled marriages and marriages to the same person)?
B.
If you selected "Other," provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Other (Explain):
Birth in the United States Acquisition after birth through naturalization of alien parent(s)
Birth abroad to U.S. citizen parent(s)
Naturalization
-
StateCity or Town
Place of Naturalization (Name of Court or USCIS Office Location)
Date of Naturalization (mm/dd/yyyy)
2. Date of Birth (mm/dd/yyyy) Country of Birth 3. Country of Citizenship or Nationality4.
Page 6 of 15Form N-600 11/08/19
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A-Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father) (continued)
Date of Marriage (mm/dd/yyyy)
F.
NoYesIs your U.S. citizen father's current spouse also your biological (or adopted) mother?I.
H.
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother)
NOTE: Complete this section if you are claiming citizenship through a U.S. citizen biological mother (or adoptive mother). Provide information about yourself if you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.
Current Legal Name of U.S. Citizen Mother
1.
2. Date of Birth (mm/dd/yyyy) Country of Birth 3. Country of Citizenship or Nationality4.
Other (Explain):
City or Town State ZIP Code + 4 -
Postal Code (foreign address only)
Province (foreign address only)
Information About U.S. Citizen Father's Current Spouse9.
A. Middle Name Given Name (First Name)Family Name (Last Name)
Page 7 of 15Form N-600 11/08/19
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A-Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother) (continued)
NoYesHas your mother ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship?7.
What is your U.S. citizen mother's current marital status?
DivorcedSingle, Never Married WidowedMarried Marriage Annulled Separated
Marital History8.
A. How many times has your U.S. citizen mother been married (including annulled marriages and marriages to the same person)?
B.
Other (Explain):
If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Information About U.S. Citizen Mother's Current Spouse9.
A. Middle Name Given Name (First Name)Family Name (Last Name)
A- A-NumberCertificate of Naturalization Number
Naturalization
A- Alien Registration Number (A-Number) Certificate of Citizenship Number
Birth in the United States Acquisition after birth through naturalization of alien parent(s)
5. Physical Address
-
StateCity or Town
DRAFT Not for
NoYesIs your U.S. citizen mother's current spouse also your biological (or adopted) father?I.
A-Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother) (continued)
Part 6. Physical Presence in the United States From Birth Until Filing of Form N-600
NOTE: Only applicants born outside the United States claiming to have been born U.S. citizens are required to provide all the dates when your U.S. citizen biological father or U.S. citizen biological mother resided in the United States. Include all dates from your birth until the date you file your Form N-600.
Indicate whether this information relates to your U.S. citizen father or mother
U.S. Citizen Father U.S. Citizen Mother
Physical Presence in the United States
Spouse's Immigration Status Lawful Permanent ResidentU.S. Citizen
H.
Other
If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
1.
2.
Date of Marriage (mm/dd/yyyy)F.
City or Town State ZIP Code + 4 -
Postal Code (foreign address only)
StateCity or Town
DRAFT Not for
A-Part 7. Information About Military Service of U. S. Citizen Parents
NOTE: Complete this only if you are an applicant claiming U.S. citizenship at time of birth abroad.
NoYesHas your U.S. citizen parent served in the U.S. Armed Forces?1.
If you answered "Yes" to Item Number 1., which parent served in the U.S. Armed Forces?
U.S. Citizen Father U.S. Citizen Mother
2.
Dates of Service (mm/dd/yyyy) (If time of service fulfills any of the required physical presence, submit evidence of the service.)3.
Type of Discharge4.
Part 8. Applicant's Statement, Contact Information, Certification, and Signature
NOTE: Read the Penalties section of the Form N-600 Instructions before completing this section.
1.
I can read and understand English, and I have read and understand every question and instruction on this application and my answer to every question.
A.
Applicant's Statement Regarding the Interpreter
understood everything. every question, in The interpreter named in Part 9. read to me every question and instruction on this application and my answer to
, a language in which I am fluent and I B.
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
Applicant's Statement
At my request, the preparer named in Part 10., , 2. Applicant's Statement Regarding the Preparer
prepared this application for me based only upon information I provided or authorized.
Applicant's Contact Information
Applicant's Email Address (if any)
3.
5.
4.
I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek.
Applicant's Certification
DRAFT Not for
A-Part 8. Applicant's Statement, Contact Information, Certification, and Signature (continued)
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
Applicant's Signature
Applicant's Signature Date of Signature (mm/dd/yyyy)6.
NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application.
2) I understood all of the information contained in, and submitted with, my application; and
3) All of this information was complete, true, and correct at the time of filing.
1) I reviewed and provided or authorized all of the information in my application;
I certify, under penalty of perjury, that I provided or authorized all of the information in my application, I understand all of the information contained in, and submitted with, my application, and that all of this information is complete, true, and correct.
Interpreter's Business or Organization Name (if any)2.
Interpreter's Given Name (First Name)Interpreter's Family Name (Last Name)1.
Provide the following information about the interpreter.
Interpreter's Full Name
City or Town State
Country
Interpreter's Email Address (if any)6.
Interpreter's Mobile Telephone Number (if any)5.
Page 11 of 15Form N-600 11/08/19
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A-Part 9. Interpreter's Contact Information, Certification, and Signature (continued)
Interpreter's Certification I certify, under penalty of perjury, that: I am fluent in English and , which is the same language specified in Part 8., Item B. in Item Number 1., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Certification, and has verified the accuracy of every answer.
Date of Signature (mm/dd/yyyy)Interpreter's Signature
Interpreter's Signature 7.
Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
Provide the following information about the preparer.
Preparer's Full Name
Preparer's Business or Organization Name (if any) 2.
3. Street Number and Name Apt. Flr. NumberSte.
City or Town State
Preparer's Daytime Telephone Number Preparer's Mobile Telephone Number (if any)
Preparer's Email Address (if any)
4.
6.
5.
DRAFT Not for
A-Part 10. Contact Information. Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant (continued)
I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's consent.
I am an attorney or accredited representative and my representation of the applicant in this case does not extend beyond the preparation of this application.
7.
B. extends
NOTE: If you are an attorney or accredited representative, you may need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, with this application. Members of the Armed Forces applying outside the United States for a Certificate of Citizenship under INA section 320 may file Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States with this application, if applicable.
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I prepared this application at the request of the applicant. The applicant then reviewed this completed application and informed me that he or she understands all of the information contained in, and submitted with, his or her application, including the Applicant's Certification, and that all of this information is complete, true, and correct. I completed this application based only on information that the applicant provided to me or authorized me to obtain or use.
Preparer's Signature Date of Signature (mm/dd/yyyy)
Preparer's Signature
DRAFT Not for
Item NumberPart NumberPage Number B.
B.
C.
C.
D.
D.
A.
A.
If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-Number at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
A-Number A-
Page Number B. Part Number C. Item Number
1. Family Name (Last Name) Given Name (First Name) Middle Name
D.
A.
D.
DRAFT Not for
A-Part 12. Affidavit (do NOT complete this part unless instructed to do so AT THE INTERVIEW)
NOTE: Do not complete Parts 12. and 13. unless the USCIS officer instructs you to do so at the interview.
do swear or affirm, underI, the (applicant, parent, or legal guardian) penalty of perjury under the laws of the United States, that I know and understand the contents of this application signed by me, and the attached supplementary pages number to inclusive, that the same are true and correct to the best of my knowledge, and that corrections number to were made by me or at my request.
Applicant's, Parent's, or Legal Guardian's Signature Date of Signature (mm/dd/yyyy)
Subscribed and sworn or affirmed before me upon examination of the applicant (parent, or legal guardian) on
USCIS Officer's Printed Name
Date of Signature (mm/dd/yyyy)
On the basis of the documents, records, the testimony of persons examined, and the identification upon personal appearance of the underage beneficiary, I find that all the facts and conclusions set forth under oath in this application are:
True and correct1.
The applicant derived or acquired U.S. citizenship on 2. Date (mm/dd/yyyy)
The applicant derived or acquired U.S. citizenship through (Select the box next to the appropriate section of law, or if the section of law is not reflected, type or print the applicable section of law in the space next to “Other.”)
3.
The applicant has not been expatriated since that time4.
Part 13. Officer Report and Recommendation on Application for Certificate of Citizenship (for USCIS use ONLY)
at (Location)
Date (mm/dd/yyyy).
DRAFT Not for
A-Part 13. Officer Report and Recommendation on Application for Certificate of Citizenship (for USCIS use ONLY) (continued)
DeniedApprovedI recommend that this Form N-600 be:
Issue Certificate of Citizenship in the name of
USCIS District Director's or Field Office Director's Signature Date of Signature (mm/dd/yyyy)
do not concur with the USCIS Officer's recommendation of Form N-600.I do
Page of
For USCIS Use Only
I am an ADOPTED child of a U.S. citizen parent.
I am a BIOLOGICAL child of a U.S. citizen parent.
This application is being filed based on the fact that: (Select only one box)
Part 1. Information About Your Eligibility
Enter Your 9 Digit A-Number:
Date Stamp
Family Name (Last Name)
Given Name (First Name)
Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above)
2.

Department of Homeland Security
U. S. Department of Homeland Security Logo.
USCIS
Expires 11/30/2021

Other Names You Have Used Since Birth Provide all other names you have ever used, include nicknames, maiden name, and aliases.
3.
6.
Date of Birth (mm/dd/yyyy)
Date of Birth (m m /d d/ y y y y)
U.S. Social Security Number
Right pointing arrow.
NOTE: Provide information about yourself if you are an applicant applying for the Certificate of Citizenship. Provide information about your child if you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child.
NOTE: If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Gender
9.
8.
Attorney or Accredited Representative USCIS Online Account Number
Part 2. Information About You (continued)
A-
11.
Number
Flr.
Ste.
Apt.
-
Country (foreign address only)
12.
14.
Information About Your Admission into the United States and Current Immigration Status
I arrived in the following manner:
Port-of-Entry
A.
Middle Name
13.
Are you a member or veteran of any branch of the U.S. Armed Forces?
I used the following travel document to be admitted to the United States
B.
Date Passport or Travel Document Issued (mm/dd/yyyy)
A-
Part 2. Information About You (continued)
I obtained LPR status through adjustment of status in the United States or admission as a LPR.
D. I obtained Lawful Permanent Resident (L P R) status through adjustment of status in the United States or admission as a Lawful Permanent Resident (L P R) (if applicable)
D.
Date I became a LPR (mm/dd/yyyy)
U.S. Citizenship and Immigration Services (USCIS) Office That Granted My LPR Status or Location Where I Was Admitted
U.S. Citizenship and Immigration Services (U S C I S) Office That Granted My Lawful Permanent Resident (L P R) Status or Location Where I Was Admitted.
Have you previously applied for a Certificate of Citizenship or U.S. Passport?
15.
If you answered "Yes" to Item Number 15., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
16.
Have you ever abandoned or lost your LPR status?
16. Have you ever abandoned or lost your Lawful Permanent Resident (L P R) status?
If you answered "Yes" to Item Number 16., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Were you adopted?
17.
If you answered "Yes" to Item Number 17., complete Items A. - D.
Place of Final Adoption
Did you have to be re-adopted in the United States?
18.
If you answered "Yes" to Item Number 18., complete Items A. - D.
Date of Final Adoption (mm/dd/yyyy)
B.
My most recent immigration status in the United States was:
C.
A Nonimmigrant
Other (Explain):
A Refugee/Asylee
NOTE: If you select “Other” and you need extra space to complete this section, use the space provided in Part 11. Additional Information.
State
C.
D.
C.
D.
B.
Were your parents married to each other when you were born (or adopted)?
19.
20.
Do you regularly reside in the United States in the legal and physical custody of your U.S. citizen parent(s), or, if over 18 years of age, did you regularly reside in the legal and physical custody of your U.S. citizen parent(s) before turning 18 years of age?
21.
A-
Date You Left the United States (mm/dd/yyyy)
A.
B.
D.
E.
2.
3.
1.
4.
Weight
Pounds
5.
Brown
Blue
Green
Hazel
Gray
Black
Pink
Maroon
Unknown/
Other
Bald
6.
Unknown/Other
Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Have you been absent from the United States since you first arrived?
22.
State
State
Place of Entry Upon Return to the United States
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father)
NOTE: Complete this section if you are claiming citizenship through a U.S. biological father (or adoptive father). Provide information about yourself if you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.
Current Legal Name of U.S. Citizen Father
Part 4. Information About Your U.S. Citizen Biological Father(or Adoptive Father) (continued)
My father is a U.S. citizen by
6.
Certificate of Naturalization Number
Has your father ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship?
7.
What is your U.S. citizen father's current marital status?
Marital History
8.
A.
How many times has your U.S. citizen father been married (including annulled marriages and marriages to the same person)?
B.
If you selected "Other," provide an explanation. If you need extra space to complete this section, use the space provided inPart 11. Additional Information.
Birth in the United States
Acquisition after birth through naturalization of alien parent(s)
Naturalization
5.
Number
Flr.
Ste.
Apt.
-
Country of Birth
4.
A-
Part 4. Information About Your U.S. Citizen Biological Father(or Adoptive Father) (continued)
Date of Marriage (mm/dd/yyyy)
F.
Is your U.S. citizen father's current spouse also your biological (or adopted) mother?
I.
H.
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother)
NOTE: Complete this section if you are claiming citizenship through a U.S. citizen biological mother (or adoptive mother). Provide information about yourself if you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.
Current Legal Name of U.S. Citizen Mother
Country of Birth
4.
D.
9.
A.
Part 5. Information About Your U.S. Citizen Biological Mother(or Adoptive Mother) (continued)
Has your mother ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship?
7.
What is your U.S. citizen mother's current marital status?
Marital History
8.
A.
How many times has your U.S. citizen mother been married (including annulled marriages and marriages to the same person)?
B.
If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided inPart 11. Additional Information.
Information About U.S. Citizen Mother's Current Spouse
9.
A.

6.
Acquisition after birth through naturalization of alien parent(s)
5.
Number
Flr.
Ste.
Apt.
-
Is your U.S. citizen mother's current spouse also your biological (or adopted) father?
I.
A-
Part 5. Information About Your U.S. Citizen Biological Mother(or Adoptive Mother) (continued)
Part 6. Physical Presence in the United States From Birth Until Filing of Form N-600
NOTE: Only applicants born outside the United States claiming to have been born U.S. citizens are required to provide all the dates when your U.S. citizen biological father or U.S. citizen biological mother resided in the United States. Include all dates from your birth until the date you file your Form N-600.
Indicate whether this information relates to your U.S. citizen father or mother
Physical Presence in the United States
Spouse's Immigration Status
H.
If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided inPart 11. Additional Information.
1.
2.
D.
State
G.
Country
A-
Part 7. Information About Military Service of U. S. Citizen Parents
NOTE: Complete this only if you are an applicant claiming U.S. citizenship at time of birth abroad.
Has your U.S. citizen parent served in the U.S. Armed Forces?
1.
If you answered "Yes" to Item Number 1., which parent served in the U.S. Armed Forces?
2.
Dates of Service (mm/dd/yyyy) (If time of service fulfills any of the required physical presence, submit evidence of the service.)
3.
Part 8. Applicant's Statement, Contact Information, Certification, and Signature
NOTE: Read the Penalties section of the Form N-600 Instructions before completing this section.
1.
I can read and understand English, and I have read and understand every question and instruction on this application and my answer to every question.
A.
understood everything.
every question, in
The interpreter named in Part 9. read to me every question and instruction on this application and my answer to
, a language in which I am fluent and I
B.
NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
Applicant's Statement
,
Applicant's Statement Regarding the Preparer
prepared this application for me based only upon information I provided or authorized.
Applicant's Contact Information
Applicant's Email Address (if any)
3.
5.
4.
I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.
I further authorize release of information contained in this application, in supporting documents, and in my U S C I S records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek.
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that U S C I S may require that I submit original documents to U S C I S at a later date. Furthermore, I authorize the release of any information from any of my records that U S C I S may need to determine my eligibility for the immigration benefit I seek.
Applicant's Certification
Part 8. Applicant's Statement, Contact Information, Certification, and Signature (continued)
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
6.
NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application.
2) I understood all of the information contained in, and submitted with, my application; and
3) All of this information was complete, true, and correct at the time of filing.
1) I reviewed and provided or authorized all of the information in my application;
I certify, under penalty of perjury, that I provided or authorized all of the information in my application, I understand all of the information contained in, and submitted with, my application, and that all of this information is complete, true, and correct.
Interpreter's Business or Organization Name (if any)
2.
1.
Interpreter's Full Name
City or Town
6.
5.
Right pointing arrow.
(continued)
I am fluent in English and
, which is the same language specified in Part 8.,
Item B. in Item Number 1., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Certification, and has verified the accuracy of every answer.
7.
Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
Provide the following information about the preparer.
Preparer's Full Name
1.
2.
3.
Preparer's Email Address (if any)
4.
6.
5.
A-
Part 10. Contact Information. Declaration, and Signature of the PersonPreparing this Application, if Other Than the Applicant (continued)
I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's consent.
I am an attorney or accredited representative and my representation of the applicant in this case
does not extend beyond the preparation of this application.
7.
A.
B.
extends
NOTE: If you are an attorney or accredited representative, you may need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, with this application. Members of the Armed Forces applying outside the United States for a Certificate of Citizenship under INA section 320 may file Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States with this application, if applicable.
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I prepared this application at the request of the applicant. The applicant then reviewed this completed application and informed me that he or she understands all of the information contained in, and submitted with, his or her application, including the Applicant's Certification, and that all of this information is complete, true, and correct. I completed this application based only on information that the applicant provided to me or authorized me to obtain or use.
Preparer's Signature
B.
B.
C.
C.
D.
D.
A.
A.
If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-Number at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.
A-Number
D.
4.
B.
C.
A.
A-
Part 12. Affidavit (do NOT complete this part unless instructed to do so
AT THE INTERVIEW)
NOTE: Do not complete Parts 12. and 13. unless the USCIS officer instructs you to do so at the interview.
NOTE: Do not complete Parts 12. and 13. unless the U S C I S officer instructs you to do so at the interview.
do swear or affirm, under
I, the (applicant, parent, or legal guardian)
penalty of perjury under the laws of the United States, that I know and understand the contents of this application signed by me, and the attached supplementary pages number to inclusive, that the same are true and correct to the best of my knowledge, and that corrections number to were made by me or at my request.
Applicant's, Parent's, or Legal Guardian's Signature
Subscribed and sworn or affirmed before me upon examination of the applicant (parent, or legal guardian) on
On the basis of the documents, records, the testimony of persons examined, and the identification upon personal appearance of the underage beneficiary, I find that all the facts and conclusions set forth under oath in this application are:
True and correct
2.
Date (mm/dd/yyyy)
The applicant derived or acquired U.S. citizenship through (Select the box next to the appropriate section of law, or if the section of law is not reflected, type or print the applicable section of law in the space next to “Other.”)
3.
4.
Part 13. Officer Report and Recommendation on Application for Certificate of Citizenship(for USCIS use ONLY)
Part 13. Officer Report and Recommendation on Application for Certificate of Citizenship (for U S C I S use ONLY)
at
(Location)
Part 13. Officer Report and Recommendation on Application forCertificate of Citizenship (for USCIS use ONLY) (continued)
Part 13. Officer Report and Recommendation on Application for Certificate of Citizenship (for U S C I S use ONLY) (continued)
Denied
Approved
Issue Certificate of Citizenship in the name of
do not concur with the USCIS Officer's recommendation of Form N-600.
I do
02/13/2017 N
02/13/2017 N
CurrentPage:
PageCount:
Part 1. Information About the Your Eligibility. 1. This application is being filed based on the fact that. (Select only one box). Select this Box for I am a BIOLOGICAL child of a U.S. citizen parent.:
Part 11. Additional Information. If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and. A. Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. 1. Middle Name. This is a read only field. This field pre-populates from page 1.:
Part 11. Additional Information. If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and. A. Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. 1. Enter Family Name (Last Name). 1. Given Name (First Name). This is a read only field. This field pre-populates from page 1.:
Part 11. Additional Information. If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and. A. Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. 1. Family Name (Last Name). This is a read only field. This field pre-populates from page 1.:
Part 2. Information About You. 2. Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above). Enter Family Name (Last Name).:
Part 2. Information About You. 2. Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above). Enter Given Name (First Name).:
Part 2. Information About You. 2. Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above). Enter Middle Name.:
Alien Registration Number (A. Number). This is a read only field. This field is pre-populated from Page 1.:
Part 2. Information About You. 3. Other Names You Have Used Since Birth. Provide all other names you have ever used, include nicknames, maiden name, and aliases. Enter Middle Name.:
Part 2. Information About You. 3. Other Names You Have Used Since Birth. Provide all other names you have ever used, include nicknames, maiden name, and aliases. Enter Given Name (First Name).:
Part 2. Information About You. 3. Other Names You Have Used Since Birth. Provide all other names you have ever used, include nicknames, maiden name, and aliases. Enter Family Name (Last Name). Line Two of Two.:
Part 2. Information About You. 3. Other Names You Have Used Since Birth. Provide all other names you have ever used, include nicknames, maiden name, and aliases. Enter Middle Name.:
Part 2. Information About You. 3. Other Names You Have Used Since Birth. Provide all other names you have ever used, include nicknames, maiden name, and aliases. Enter Given Name (First Name).:
Part 2. Information About You. 3. Other Names You Have Used Since Birth. Provide all other names you have ever used, include nicknames, maiden name, and aliases. Enter Family Name (Last Name). Line One of Two.:
Part 2. Information About You. 6. Date of Birth (mm/dd/yyyy). Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 7. Enter Country of Birth.:
Part 2. Information About You. 4. Enter U.S. Social Security Number (if any).:
Part 2. Information About You. 5. Enter U S C I S Online Account Number (if any).:
Part 1. Information About the Your Eligibility. 1. Other. Explain Fully. NOTE: If you need extra space to complete this section, use the space provided in Part 11. Additional Information.:
Part 2. Information About You. 9. Gender. Select this Box for Female.:
Part 2. Information About You. 8. Enter Country of Prior Citizenship or Nationality.:
To be completed by an attorney or accredited representative, if any. Select this box if Form G - 28 is attached.: 0
To be completed by an attorney or accredited representative, if any. Enter Attorney State Bar Number, if applicable.:
To be completed by an attorney or accredited representative, if any. Enter Attorney or Accredited Representative U S C I S Online Account Number, if any. Enter 12 digits.:
Part 2. Information About You. 11. Physical Address. Enter City or Town. :
Part 2. Information About You. 11. Physical Address. Select State from a List of States.:
Part 2. Information About You. 11. Physical Address. Enter Zip Code Plus 4. Enter 5-digit Zip Code.:
Part 2. Information About You. 11. Physical Address. Enter Zip Code Plus 4. Enter 4-digit Zip Code Extension.:
Part 2. Information About You. 11. Physical Address. Enter Apartment, Suite, or Floor Number.:
Part 2. Information About You. 11. Physical Address. Select this Box for Apartment.:
Part 2. Information About You. 11. Physical Address. Enter Street Number and Name (Do not provide a P O Box in this space unless it is your ONLY address.) :
Part 2. Information About You. 11. Physical Address. Enter Postal Code (foreign address only).:
Part 2. Information About You. 11. Physical Address. Enter Province (foreign address only).:
Part 2. Information About You. 11. Physical Address. Enter Country (foreign address only).:
Part 2. Information About You. 10. Mailing Address. Enter In Care Of Name (if any).:
Part 2. Information About You. 12. Current Marital Status. Select this Box for Marriage Annulled.:
Part 2. Information About You. 12. Current Marital Status. Enter Other (Explain).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. G. Place of Marriage. Enter City or Town.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. A. I arrived in the following manner. Port-of-Entry. 2. Date of Entry. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. A. I arrived in the following manner. Port-of-Entry. Exact Name Used at Time of Entry. Enter Middle Name.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. A. I arrived in the following manner. Port-of-Entry. Exact Name Used at Time of Entry. Enter Mother's Given Name (First Name).:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. A. I arrived in the following manner. Port-of-Entry. Exact Name Used at Time of Entry. Enter Family Name (Last Name).:
Part 2. Information About You. 10. Mailing Address. Enter City or Town. :
Part 2. Information About You. 10. Mailing Address. Select State from a List of States.:
Part 2. Information About You. 10. Mailing Address. Enter Zip Code Plus 4. Enter 5-digit Zip Code.:
Part 2. Information About You. 10. Mailing Address. Enter Zip Code Plus 4. Enter 4-digit Zip Code Extension.:
Part 2. Information About You. 10. Mailing Address. Enter Apartment, Suite, or Floor Number.:
Part 2. Information About You. 10. Mailing Address. Select this Box for Apartment.:
Part 2. Information About You. 10. Mailing Address. Enter Street Number and Name. :
Part 2. Information About You. 10. Mailing Address. Enter Postal Code (foreign address only).:
Part 2. Information About You. 10. Mailing Address. Enter Province (foreign address only).:
Part 2. Information About You. 10. Mailing Address. Enter Country (foreign address only).:
Part 2. Information About You. 13. U.S. Armed Forces. Are you a member or veteran of any branch of the U.S. Armed Forces? Select this Box for Yes.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. B. I used the following travel document to be admitted to the United States. Select this Box for Travel Document.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. B. I used the following travel document to be admitted to the United States. Select this Box for Passport.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. B. I used the following travel document to be admitted to the United States. Enter Passport Number.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. B. I used the following travel document to be admitted to the United States. Enter Travel Document Number.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. B. I used the following travel document to be admitted to the United States. Enter Country of Issuance for Passport or Travel Document.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. B. I used the following travel document to be admitted to the United States. Enter Date Passport or Travel Document. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. D. I obtained Lawful Permanent Resident (L P R) status through adjustment of status in the United States or admission as a Lawful Permanent Resident (L P R) (if applicable). Date I became a Lawful Permanent Resident (L P R). Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. D. I obtained Lawful Permanent Resident (L P R) status through adjustment of status in the United States or admission as a Lawful Permanent Resident (L P R) (if applicable). Enter U.S. Citizenship and Immigration Services (U S C I S) Office That Granted My Lawful Permanent Resident (L P R) Status or Location Where I Was Admitted.:
Part 2. Information About You. 15. Have you previously applied for a Certificate of Citizenship or U.S. Passport? Select this Box for Yes.:
Part 2. Information About You. 16. Have you ever abandoned or lost your LPR status? Select this Box for Yes.:
Part 2. Information About You. 17. Were you adopted? Select this Box for Yes. If you answered "Yes" to Item Number 17., complete Items. A. - D.:
Part 2. Information About You. 17. Were you adopted? A. Place of Final Adoption. Enter Country.:
Part 2. Information About You. 18. Did you have to be re-adopted in the United States? Select this Box for Yes. If you answered "Yes" to Item Number 18., complete Items. A. - D.:
Part 2. Information About You. 18. Did you have to be re-adopted in the United States? B. Date of Adoption. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 15. If you answered "Yes" to Item Number 15., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.:
Part 2. Information About You. If you answered "Yes" to Item Number 16., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. C. My most recent immigration status in the United States was. Select this Box for A Refugee/Asylee.:
Part 2. Information About You. 14. Information About Your Admission into the United States and Current Immigration Status. C. My most recent immigration status in the United States was. Enter Other Explanation. :
Part 2. Information About You. 17. Were you adopted? A. Place of Final Adoption. Select State from a List of States.:
Part 2. Information About You. 17. Were you adopted? A. Place of Final Adoption. Enter City or Town.:
Part 2. Information About You. 18. Did you have to be re-adopted in the United States? A. Place of Final Adoption. Enter Country.:
Part 2. Information About You. 18. Did you have to be re-adopted in the United States? A. Place of Final Adoption. Select State from a List of States.:
Part 2. Information About You. 18. Did you have to be re-adopted in the United States? A. Place of Final Adoption. Enter City or Town.:
Part 2. Information About You. 18. Did you have to be re-adopted in the United States? C. Date Legal Custody Began. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 18. Did you have to be re-adopted in the United States? D. Date Physical Custody Began. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 17. Were you adopted? C. Date Legal Custody Began. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 17. Were you adopted? D. Date Physical Custody Began. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 17. Were you adopted? B. Date of Adoption. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 19. Were your parents married to each other when you were born (or adopted)? Select this Box for Yes.:
Part 2. Information About You. 20. Did your parents marry after you were born? Select this Box for Yes.:
Part 2. Information About You. 21. Do you regularly reside in the United States in the legal and physical custody of your U.S. citizen parents, or, if over 18 years of age, did you regularly reside in the legal and physical custody of your U.S. citizen parents before turning 18 years of age? Select this Box for Yes.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. A. Date of You Left the United States. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. B. Date You Returned to the United States. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. D. Date You Left the United States. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. E. Date You Returned to the United States. Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 3. Biographic Information. 3. Height. Enter Feet.:
Part 3. Biographic Information. 3. Height. Enter Inches.:
Part 3. Biographic Information. 2. Race (Select all applicable boxes). Select this Box for Asian.:
Part 3. Biographic Information. 1. Ethnicity (Select only one box). Select this Box for Hispanic or Latino.:
Part 3. Biographic Information. 4. Weight. Enter First Number of Three Digit Weight in Pounds.:
Part 3. Biographic Information. 4. Weight. Enter Second Number of Three Digit Weight in Pounds.:
Part 3. Biographic Information. 4. Weight. Enter Third Number of Three Digit Weight in Pounds.:
Part 3. Biographic Information. 5. Eye color (Select only one box). Select this Box for Unknown/Other.:
Part 3. Biographic Information. 6. Hair color (Select only one box). Select this Box for Unknown/Other.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Select this Box for Yes.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. F. Place of Entry Upon Return to the United States. Select State from a List of States.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. F. Place of Entry Upon Return to the United States. Enter City or Town.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. C. Place of Entry Upon Return to the United States. Select State from a List of States.:
Part 2. Information About You. 22. Have you been absent from the United States since you first arrived? Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. C. Place of Entry Upon Return to the United States. Enter City or Town.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 1. Current Legal Name of U.S. Citizen Father. Enter Middle Name.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 1. Current Legal Name of U.S. Citizen Father. Enter Given Name (First Name).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). NOTE: Complete this section if you are claiming citizenship through a U.S. biological father (of adoptive father). Provide information about yourself if you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child. 1. Current Legal Name of U.S. Citizen Father. Enter Family Name (Last Name).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Birth abroad to U. S. citizen parents. Alien Registration Number. (A. -Number) (if any).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Select this Box for Naturalization.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Birth abroad to U. S. citizen parents. Enter Certificate of Citizenship Number (if any).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Naturalization. Enter. A. -Number. (if any). A.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Naturalization. Enter Certificate of Naturalization Number.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 7. Has your father ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship? Select this Box for Yes. If you answered “Yes” to Item Number 7., provide an explanation in Part 11. Additional Information.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 8. Marital History. B. What is your U.S. citizen father's current marital status? Select this Box for Other.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 8. Marital History. A. How many times have you been married (including annulled marriages and marriage or marriages to the same person)? Enter Number of Marriages.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 8. Marital History. B. What is your U.S. citizen father's current marital status? Other. If you selected "Other," provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter City or Town. :
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Select State from a List of States.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter Zip Code Plus 4. Enter 5-digit Zip Code.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter Zip Code Plus 4. Enter 4-digit Zip Code Extension.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter Apartment, Suite, or Floor Number.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Select this Box for Apartment.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter Street Number and Name (Type or print "Deceased" and the date of death if your father has passed away.) :
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter Postal Code (foreign address only).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter Province (foreign address only).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 5. Physical Address. Enter Country (foreign address only).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Naturalization. Select State from a List of States.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Naturalization. Enter City or Town. :
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Naturalization. 6. Date of Naturalization (mm/dd/yyyy). :
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 6. My father is a U. S. Citizen by. Naturalization. Enter Place of Naturalization (Name of Court or U S C I S Office Location).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 2. Date of Birth (mm/dd/yyyy). Enter Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 3. Enter Country of Birth.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 4. Enter Country of Citizenship or Nationality.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. F. Enter Date of Marriage as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. H. Spouse's Immigration Status. Select this Box for Other (Explain).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. I. Is your U.S. citizen father's current spouse also your biological (or adopted) mother? Select this Box for Yes.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 1. Current Legal Name of U.S. Citizen Mother. Enter Middle Name.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 1. Current Legal Name of U.S. Citizen Mother. Enter Given Name (First Name).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). NOTE. Complete this section if you are claiming citizenship through a U.S. citizen biological mother (or adoptive mother). Provide information about yourself if you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child. 1. Current Legal Name of U.S. Citizen Mother. Enter Family Name (Last Name).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 2. Enter Date of Birth (mm/dd/yyyy) as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 3. Enter Country of Birth.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 4. Enter Country of Citizenship or Nationality.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. H. Spouse's Immigration Status. Other. If you selected "Other," provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. D. Enter Country of Citizenship or Nationality.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Enter Street Number and Name.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Enter Apartment, Suite, or Floor Number.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Select this Box for Apartment.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Zip Code Plus 4. Enter 5-digit Zip Code.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Select State from a List of States.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Enter City or Town.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Zip Code Plus 4. Enter 4-digit Zip Code Extension.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Enter Postal Code (foreign address only).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Enter Province (foreign address only).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. E. Spouse's Physical Address. Enter Country (foreign address only).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. G. Place of Marriage. Enter Country.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. G. Place of Marriage. Select State from a List of States.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. G. Place of Marriage. Enter City or Town.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. B. Enter Date of Birth as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. C. Enter Country of Birth.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. A. Enter Middle Name.:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. A. Enter Given Name (First Name).:
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father). 9. Information About U.S. Citizen Father's Current Spouse. A. Enter Family Name (Last Name).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 7. Has your mother ever lost U.S. citizenship or taken any action that would cause loss of U.S. citizenship?Select this Box for Yes. If you answered “Yes” to Item Number 7., provide an explanation in Part 11. Additional Information.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 8. Marital History. B. What is your current marital status? Select this Box for Other (Explain).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 8. Marital History. A. How many times has your U.S. citizen mother been married (including annulled marriages and marriages to the same person)? Enter Number of Marriages.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 8. Marital History. B. What is your current marital status? Other (Explain). If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. A. Enter Middle Name.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. A. Enter Given Name (First Name).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. A. Enter Family Name (Last Name).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Select this Box for Birth in the United States.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Naturalization. Enter A. -Number (if any).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Naturalization. Enter Certificate of Naturalization Number.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Select this Box for Birth abroad to U. S. citizen parents.A. -Number (if any). A.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Birth abroad to U. S. citizen parents. Enter Certificate of Citizenship Number (if any).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Enter City or Town. :
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Select State from a List of States.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Zip Code Plus 4. Enter 5-digit Zip Code.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Zip Code Plus 4. Zip Code Plus 4. Enter 4-digit Zip Code Extension.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Enter Apartment, Suite, or Floor Number.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Select this Box for Apartment.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Enter Street Number and Name (Type or print "Deceased" and the date of death if your mother has passed away.) :
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Enter Postal Code (foreign address only).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Enter Province (foreign address only).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 5. Physical Address. Enter Country (foreign address only).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Naturalization. Select State from a List of States.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Naturalization. Enter City or Town.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. B. Enter Date of Birth as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. C. Enter Country of Birth.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Naturalization. Date of Naturalization (mm/dd/yyyy) as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 6. My mother is a U. S. Citizen by. Naturalization. Enter Place of Naturalization (Name of Court or U S C I S Office Location).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. I. Is your U.S. citizen mother's current spouse also your biological (or adopted) father? Select this Box for Yes.:
Part 6. Physical Presence in the United States From Birth Until Filing of Form N-600. 1. Indicate whether this information relates to your U.S. citizen father or mother. Select this Box for U.S. Citizen Mother.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. H. Spouse's Immigration Status. Select this Box for Other.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. H. Spouse's Immigration Status. Other. If you selected “Other,” provide an explanation. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.:
Part 7. Information About Military Service of U. S. Citizen Parents. Dates of Service (mm/dd/yyyy) (If time of service fulfills any of the required physical presence, submit evidence of the service.) B. Enter From Date as 2-digit Month, 2-digit Day, and 4-digit Year.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Enter Street Number and Name.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Enter Apartment, Suite, or Floor Number.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Select this Box for Apartment.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Zip Code Plus 4. Enter 5-digit Zip Code.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Select State from a List of States.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Enter City or Town.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Zip Code Plus 4. Enter 4-digit Zip Code Extension.:
Part 4. Information About Your Residence. Where have you lived during the last 5 years? Begin with where you live now and then list every location where you have lived during the last 5 years. If you need more space, use an additional sheet or sheets of paper. 2. Enter Postal Code (foreign address only).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Enter Province (foreign address only).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. E. Spouse's Physical Address. Enter Country (foreign address only).:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. D. Enter Country of Citizenship or Nationality.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. G. Place of Marriage. Select State from a List of States.:
Part 5. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother). 9. Information About U.S. Citizen Mother's Current Spouse. G. Place of Marriage. Enter Country.:
Part 7. Information About Military Service of U. S. Citizen Parents. NOTE. Complete this only if you are an applicant claiming U.S. citizenship at time of birth abroad. 1. Has your U.S. citizen parent served in the U.S. Armed Forces? Select this Box for Yes.:
Part 7. Information About Military Service of U. S. Citizen Parents. 2. Select this Box for U.S. Citizen Mother.:
Part 7. Information About Military Service of U. S. Citizen Parents. 4. Type of Discharge. Select this Box for Dishonorable.:
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Statement. NOTE. Select the box for either Item. A. or B. in Item Number 1. If applicable, select the box for Item Number 2. 1. Applicant's Statement Regarding the Interpreter. B. Select this Box for The interpreter named in Part 9. read to me every question and instruction on this application and my answer to every question, in, a language in which I am fluent and I understood everything. :
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Statement. 1. B. Enter language interpreter used.:
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Statement. 2. Applicant's Statement Regarding the Preparer. Select this Box for At my request, the preparer named in Part 10., prepared this application for me based only upon information I provided or authorized. :
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Statement. 2. Applicant's Statement Regarding the Preparer. Enter the preparer named in Part 10 who prepared this application.:
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Contact Information. 5. Enter Applicant's E-Mail Address (if any).:
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Contact Information. 3. Enter Applicant's Daytime Telephone Number.:
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Contact Information. 4. Enter Applicant's Mobile Telephone Number (if any).:
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Signature. 6. Applicant's Signature. This signature field can not be signed with a digital signature and the signee's name can not be typewritten into this space. This is a protected field. Print and sign in ink. If the applicant is a minor child, the parent must sign the child's name in this space. This form will be rejected without a signature in this space. NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, U S C I S may deny your application.:
Part 8. Applicant's Statement, Contact Information, Certification, and Signature. Applicant's Signature. 6. Date of Signature. Enter as 2-digit Month, 2-digit Day and 4-digit Year.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Provide the following information about the interpreter. Interpreter's Full Name. 2. Enter Interpreter's Business or Organization Name (if any).:
Part 9. Interpreter's Contact Information, Certification, and Signature. Provide the following information about the interpreter. Interpreter's Full Name. 1. Enter Interpreter's Given Name (First Name).:
Part 9. Interpreter's Contact Information, Certification, and Signature. Provide the following information about the interpreter. Interpreter's Full Name. 1. Enter Interpreter's Family Name (Last Name).:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Enter City or Town.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Enter Province.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Enter Postal Code.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Select State from List of States.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Enter the Street Number and Name.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Select this Box for Apartment.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Enter the number of Apartment, Suite, or Floor box.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Enter Country.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Zip Code Plus 4. Enter 5-digit Zip Code.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Mailing Address. 3. Zip Code Plus 4. Enter 4-digit Zip Code Extension.:
Part 9. Interpreter's Contact Information, Certification, and Signature. Interpreter's Contact Information. 6. Enter the Interpreter's E-Mail Address (if any).:
Part 9. Interpreter's Contact Information, Certification, and Si

n-600, application for certificate of citizenship

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