Form Ds-2029 - Application For Consular Report Of Birth Abroad Of A Citizen Of The United States Of America - U.s. Department Of State Page 4
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INFORMATION ON MOTHER/FATHER/PARENT
INFORMATION ON MOTHER/FATHER/PARENT
18. Citizenship
19. Citizenship
Were you a U.S. citizen or U.S. Non-Citizen National when the
Were you a U.S. citizen or U.S. Non-Citizen National when the
child was born?
child was born?
Yes
No
Yes
No
MARITAL STATUS OF THE PARENTS
Yes
No
20. Were you married to the child's other biological parent when the child was born?
21. Date and Place of Marriage to the child's other biological parent and current status
(month) (day)
(year)
(City)
(State/Province)
(Country)
Still Married
Divorced
Death
(month) (day)
(year)
(month) (day)
(year)
(Continued )
(Continued )
INFORMATION ON MOTHER/FATHER/PARENT
INFORMATION ON MOTHER/FATHER/PARENT
22. Please list any other marriages (Show Name(s) of Spouse(s), Dates and
23. Please list any other marriages (Show Name(s) of Spouse(s), Dates and
Current Status)
Current Status)
if applicable (Death, Divorce, Still Married). If you have
if applicable (Death, Divorce, Still Married). If you have
(If additional space is needed, please
(If additional space is needed, please
never been married, enter "None."
never been married, enter "None."
use the Section D Continuation Sheet)
use the Section D Continuation Sheet)
24. Precise Periods of Time in United States
25. Precise Periods of Time in United States
(if additional space is needed, please use the Section D Continuation Sheet)
(if additional space is needed, please use the Section D Continuation Sheet)
Date
Date
Date
Date
(month-day-year)
(month-day-year)
Place (City, State)
(month-day-year)
(month-day-year)
Place (City, State)
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
DS-2029
Page 2 of 7
04-2016
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