Uscis Form N-600 - Application For Certificate Of Citizenship Page 9
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9Part 9. Affidavit (do NOT complete this part unless instructed to do so AT
-
-
A
THE INTERVIEW)
I, the (applicant, parent, or legal guardian)
do swear or affirm, under 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 (mm/dd/yyyy)
Subscribed and sworn or affirmed before me upon examination of the applicant (parent, legal guardian) on
at
(mm/dd/yyyy)
.
(Location)
USCIS Officer's Name and Title
USCIS Officer's Signature
Part 10. Officer Report and Recommendation on Application for Certificate of Citizenship (for USCIS
use ONLY)
On the basis of the documents, records, the testimony of person(s) 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:
1.
True and correct
2.
The applicant derived or acquired U.S. citizenship on
(mm/dd/yyyy)
3.
The applicant derived or acquired U.S. citizenship through (mark “X” next to the appropriate section of law, or if the section of
law is not reflected, write the applicable section of law in the space next to “Other”)
Section 301 of the INA
Section 309 of the INA
Section 320 of the INA
Section 321 of the INA
Other:
4.
The applicant has not been expatriated since that time
I recommend that this Form N-600 application be
Approved
Denied
Issue Certificate of Citizenship in the name of
Last Name
First Name
Middle Name
USCIS Officer's Name and Title
USCIS Officer's Signature
Date (mm/dd/yyyy)
I do
do not
concur with the USCIS Officer's recommendation of the Form N-600.
Date (mm/dd/yyyy)
USCIS District Director's or Field Office Director's Signature
Form N-600 (Rev. 02/03/15) Y Page 9
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