Application for Certificate of Citizenship
USCIS
Form N-600
Department of Homeland Security
OMB No. 1615-0057
U.S. Citizenship and Immigration Services
Expires 12/31/2018
Date Stamp
Receipt
Action Block
For
USCIS
Use
Only
Remarks
To be completed
Select this box if
Attorney State Bar Number
Attorney or Accredited Representative
by an Attorney
Form G-28 is
(if applicable)
USCIS Online Account Number (if any)
or Accredited
attached.
Representative (if any).
►
START HERE - Type or print in black ink.
Enter Your 9 Digit A-Number:
Part 1. Information About Your Eligibility
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A-
1.
This application is being filed based on the fact that: (Select only one box)
I am a BIOLOGICAL child of a U.S. citizen parent.
I am an ADOPTED child of a U.S. citizen parent.
Other (Explain fully):
NOTE: If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
Part 2. Information About You
NOTE: Provide information about yourself if you are a person applying for the Certificate of Citizenship. Provide information
about your child if you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child.
1.
Current Legal Name (do not provide a nickname)
Family Name (Last Name)
Given Name (First Name)
Middle Name
2.
Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above)
Family Name (Last Name)
Given Name (First Name)
Middle Name
Other Names You Have Used Since Birth
3.
Provide all other names you have ever used, include nicknames, maiden name, and aliases.
Family Name (Last Name)
Given Name (First Name)
Middle Name
4.
U.S. Social Security Number (if any)
5.
USCIS Online Account Number (if any)
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6.
Date of Birth (mm/dd/yyyy)
7.
Country of Birth
8.
Country of Prior Citizenship or Nationality
9.
Gender
Male
Female
Form N-600 02/13/17 N
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