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 5
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INFORMATION ON MOTHER/FATHER/PARENT
INFORMATION ON MOTHER/FATHER/PARENT
27. Precise Periods Abroad in U.S. Armed Forces, in other U.S. Government
26. Precise Periods Abroad in U.S. Armed Forces, in other U.S. Government
Employment, with Qualifying International Organization, or as a dependent
Employment, with Qualifying International Organization, or as a dependent
child of a person so employed
(Specify)
(if additional space is needed please
child of a person so employed
(Specify)
(if additional space is needed please
use the Section D Continuation Sheet)
use the Section D Continuation Sheet)
Date
Date
Date
Date
Branch/Agency/Org.
Branch/Agency/Org.
(month-day-year)
(month-day-year)
(month-day-year)
(month-day-year)
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
From
To
To
From
To
From
To
From
To
From
To
From
To
From
To
B.
THIS SECTION TO BE COMPLETED BEFORE/BY CONSULAR OFFICER, NOTARY PUBLIC, OR OTHER
PERSON QUALIFIED TO ADMINISTER OATH
NOTE: If a U.S. citizen parent transmitting citizenship to the child born out of wedlock is not present, he or she may complete State Department Form DS 5507
Affidavit of Parentage Physical Presence and Support and submit separately. Only the U.S. citizen father of a child born abroad out of wedlock must complete
the acknowledgement of paternity and agreement to provide financial support.
I
do solemnly swear (or affirm)
(check all that apply)
28.
(Name)
I am a U.S. citizen or non-citizen national.
I am the father of
,
(Name of Child)
who was born on
.
My child was born out of wedlock, and I am the
in
(Date of Birth)
(Place of Birth)
the father through whom he/she is claiming U.S. citizenship.
I agree to provide financial support for this child until he/she reaches the age of eighteen
(Signature of Affiant)
SUBSCRIBED AND SWORN TO
(AFFIRMED)
before me this
day of
,
(Signature and Title of Administering Officer)
(SEAL)
DS-2029
Page 3 of 7
04-2016
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