Form N-600 - Application For Certificate Of Citizenship - Department Of Homeland Security Page 3
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15Part 2. Information About You (continued)
A-
C.
I am
A Lawful Permanent Resident (LPR)
A Nonimmigrant
A Refugee/Asylee
Other (Explain):
NOTE: If you select “Other” and you need extra space to complete this section, use the space provided in Part 11.
Additional Information.
D.
I obtained LPR status through adjustment of status in the United States or admission as a LPR (if applicable)
Date I became a LPR
U.S. Citizenship and Immigration Services (USCIS) Office That Granted My LPR
(mm/dd/yyyy)
Status or Location Where I Was Admitted
15.
Have you previously applied for a Certificate of Citizenship or U.S. Passport?
Yes
No
If you answered "Yes" to Item Number 15., provide an explanation below. If you need extra space to complete this section, use
the space provided in Part 11. Additional Information.
16.
Have you ever abandoned or lost your LPR status?
Yes
No
If you answered "Yes" to Item Number 16., provide an explanation below. If you need extra space to complete this section, use
the space provided in Part 11. Additional Information.
17.
Were you adopted?
Yes
No
If you answered "Yes" to Item Number 17., complete Items A. - D.
A.
Place of Final Adoption
City or Town
State
Country
B.
Date of Adoption
C.
Date Legal Custody Began
D.
Date Physical Custody Began
(mm/dd/yyyy)
(mm/dd/yyyy)
(mm/dd/yyyy)
18.
Did you have to be re-adopted in the United States?
Yes
No
If you answered "Yes" to Item Number 18., complete Items A. - D.
A. Place of Final Adoption
City or Town
State
Country
B.
Date of Final Adoption
C.
Date Legal Custody Began
D.
Date Physical Custody Began
(mm/dd/yyyy)
(mm/dd/yyyy)
(mm/dd/yyyy)
19.
Were your parents married to each other when you were born (or adopted)?
Yes
No
20.
Did your parents marry after you were born?
Yes
No
21.
Do you regularly reside in the United States in the legal and physical custody of your U.S. citizen parents?
Yes
No
Form N-600 02/13/17 N
Page 3 of 15
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