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)

10. Mailing Address

In Care Of Name (if any)

11.Physical Address

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

Other (Explain):

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)

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.

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.

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

F.Place of Entry Upon Return to the United States

Part 3. Biographic Information

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)

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.

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

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)

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

Naturalization

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

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

B.What is your U.S. citizen mother'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 Mother'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

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.)

4.Type of Discharge

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)

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.

Interpreter's Signature

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

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

Preparer's Mailing Address

Preparer's Contact Information

6.Preparer's Email Address (if any)

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

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.

D.

D.

D.

D.

NOTE: Do not complete Parts 12. and 13. unless the USCIS officer instructs you to do so at the interview.

penalty of perjury under the laws of the United States, that I know and understand the contents of this application signed by me, and

Subscribed and sworn or affirmed before me upon examination of the applicant (parent, legal, guardian) on

Part 13. Officer Report and Recommendation on Application for Certificate of Citizenship

(for USCIS use ONLY)

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: