Uscis Form G-884 - Request For The Return Of Original Documents Page 2

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Part 2. Data for Identification of Personal Record
1.
Subject's Full Name
Family Name (Last Name)
Given Name (First Name)
Middle Name
2.
Other Names Used (if any)
Family Name (Last Name)
Given Name (First Name)
Middle Name
3.
Date of Birth (mm/dd/yyyy)
4.
Place of Birth
City or Town
State or Province
Country
Entry Into the United States
5.
6.
Date of Entry (mm/dd/yyyy)
Port-of-Entry
7.
Type of Entry (for example, visitor, student, etc.)
8.
A-Number (if any)
A-
U.S. Citizenship Information
9.
Name on Certificate of Naturalization
Family Name (Last Name)
Given Name (First Name)
Middle Name
10.
Certificate of Naturalization Number
11.
Certificate of Naturalization Date
(mm/dd/yyyy)
12.
Name on Certificate of Citizenship
Family Name (Last Name)
Given Name (First Name)
Middle Name
14.
Certificate of Citizenship Date
13.
Certificate of Citizenship Number
(mm/dd/yyyy)
15.
Naturalization Court/USCIS Office and Location
16.
Verification of Requester's Identity
In Person With Identification
Legal Photocopies
Form G-884 09/19/16 N
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