Uscis Form N-600 - Application For Certificate Of Citizenship Page 7
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9Part 5. Physical Presence in the United States From Birth Until Filing
-
-
A
of Form N-600 (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
USC Mother
USC Father
(USC) father or mother
Physical Presence in the United States (mm/dd/yyyy)
From
Until
From
Until
From
Until
From
Until
From
Until
From
Until
From
Until
From
Until
Part 6. Information About Military Service of U. S. Citizen Parent(s) (Complete this only if you are an
applicant claiming U.S. citizenship at time of birth abroad.)
Yes
No
1. Has your U.S. citizen parent(s) served in the U.S. Armed Forces?
2. If "Yes," which parent?
U.S. Citizen Father
U.S. Citizen Mother
3. Dates of Service (if time of service fulfills any of required physical presence, submit evidence of service)
From (mm/dd/yyyy)
To (mm/dd/yyyy)
From (mm/dd/yyyy)
To (mm/dd/yyyy)
4. Type of discharge
Honorable
Other than Honorable
Dishonorable
Part 7. Your Signature (USCIS will reject your Form N-600 if it is not signed.)
I certify, under penalty of perjury under the laws of the United States, that this application and the evidence submitted with it is all true
and correct. I authorize the release of any information from my records, or my minor child's records, that U.S. Citizenship and
Immigration Services needs to determine eligibility for the benefit I am seeking.
Your Signature (parent may sign on behalf of a minor child)
Date (mm/dd/yyyy)
Part 8. Signature of Person Who Prepared This Form N-600 For You (if applicable)
I declare that I prepared this application at the request of the above person. The answers provided are based on information of which I
have personal knowledge and/or were provided to me by the above-named person in response to the questions contained on this form.
Preparer's Printed Name
Preparer's Signature
Date (mm/dd/yyyy)
Form N-600 (Rev. 02/03/15) Y Page 7
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