Form N-600 - Application For Certificate Of Citizenship - Department Of Homeland Security Page 4
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15Part 2. Information About You (continued)
A-
22.
Have you been absent from the United States since you first arrived?
Yes
No
Complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before
October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11. Additional Information.
A.
Date You Left the United States
B.
Date You Returned to the
(mm/dd/yyyy)
United States (mm/dd/yyyy)
C. Place of Entry Upon Return to the United States
City or Town
State
D.
Date You Left the United States
E.
Date You Returned to the
(mm/dd/yyyy)
United States (mm/dd/yyyy)
F. Place of Entry Upon Return to the United States
City or Town
State
Part 3. Biographic Information
1.
Ethnicity (Select only one box)
Hispanic or Latino
Not Hispanic or Latino
2.
Race (Select all applicable boxes)
White
Asian
Black or
American Indian
Native Hawaiian or
African American
or Alaska Native
Other Pacific Islander
3.
Height Feet
Inches
4.
Weight
Pounds
Eye color (Select only one box)
5.
Black
Blue
Brown
Gray
Green
Hazel
Maroon
Pink
Unknown/
Other
6.
Hair color (Select only one box)
Bald
Black
Blond
Brown
Gray
Red
Sandy
White
Unknown/
(No hair)
Other
Part 4. Information About Your U.S. Citizen Biological Father (or Adoptive Father)
NOTE: Complete this section if you are claiming citizenship through a U.S. biological father (of adoptive father). Provide
information about yourself if you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor
biological or adopted child.
1.
Current Legal Name of U.S. Citizen Father
Family Name (Last Name)
Given Name (First Name)
Middle Name
Form N-600 02/13/17 N
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