Form N600 Citizenship – Fill Out and Use This PDF

NOTE: If you need extra space to complete this section, use the space provided in Part 11. Additional Information.

Part 2. Information About You

NOTE: Provide information about yourself if you are a person 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.

1.Current Legal Name (do not provide a nickname)

2.Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above)

3.Other Names You Have Used Since Birth

Provide all other names you have ever used, include nicknames, maiden name, and aliases.

4.U.S. Social Security Number (if any) 5. USCIS Online Account Number (if any)

11.Physical Address

B.I used the following travel document to be admitted to the United States

NOTE: If you select “Other” and you need extra space to complete this section, use the space provided in Part 11. Additional Information.

D.I obtained LPR status through adjustment of status in the United States or admission as a LPR (if applicable)

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 You Left the United States (mm/dd/yyyy)

C.Place of Entry Upon Return to the United States

City or Town

D. Date You Left the United States (mm/dd/yyyy)

F.Place of Entry Upon Return to the United States

City or Town

Part 3. Biographic Information

1.Ethnicity (Select only one box)

2.Race (Select all applicable boxes)

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

5.Physical Address

Street Number and Name (Type or print "Deceased" and the date of death if your father has passed away.) Apt. Ste. Flr. Number

Naturalization

Place of Naturalization (Name of Court or USCIS Office Location)

8.Marital History

A.How many times has your U.S. citizen father been married (including annulled marriages and marriages to the same person)?

B.What is your U.S. citizen father's current marital status?

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.

9.Information About U.S. Citizen Father's Current Spouse

D.Country of Citizenship or Nationality

E.Spouse's Physical Address

F.Date of Marriage (mm/dd/yyyy)

G.Place of Marriage

H.Spouse's Immigration Status

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)

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

5.Physical Address

Street Number and Name (Type or print "Deceased" and the date of death if your mother has passed away.) Apt. Ste. Flr. Number

6.My mother is a U.S. citizen by

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.

9.Information About U.S. Citizen Mother's Current Spouse

E.Spouse's Physical Address

F.Date of Marriage (mm/dd/yyyy)

G.Place of Marriage

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 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.

1.Indicate whether this information relates to your U.S. citizen father or mother

2.Physical Presence in the United States

3.Dates of Service (mm/dd/yyyy) (If time of service fulfills any of the required physical presence, submit evidence of the service.)

Part 8. Applicant's Statement, Contact Information, Certification, and Signature

NOTE: Read the Penalties section of the Form N-600 Instructions before completing this part.

Applicant's Contact Information

5.Applicant's Email Address (if any)

Applicant's Certification

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 of my records that USCIS may need to determine my eligibility for the immigration benefit I seek.

I further 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 laws.

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:

1)I reviewed and provided or authorized all of the information in my 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.

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.

Applicant's Signature

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.

Part 9. Interpreter's Contact Information, Certification, and Signature

Provide the following information about the interpreter.

Interpreter's Full Name

2.Interpreter's Business or Organization Name (if any)

Interpreter's Mailing Address

Interpreter's Contact Information

6.Interpreter's Email Address (if any)