Form N-400 - Application For Naturalization - U.s. Citizenship And Immigration Services Page 15

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A-
Part 12. Additional Information About You (Person Applying for
Naturalization) (continued)
Answer Item Numbers 30. - 46. If you answer "Yes" to any of these questions, except Item Numbers 37. and 38., include a typed or
printed explanation on additional sheets of paper and provide any evidence to support your answers.
30.
Have you EVER:
A.
Been a habitual drunkard?
Yes
No
B.
Been a prostitute, or procured anyone for prostitution?
Yes
No
C.
Sold or smuggled controlled substances, illegal drugs, or narcotics?
Yes
No
D.
Been married to more than one person at the same time?
Yes
No
E.
Married someone in order to obtain an immigration benefit?
Yes
No
F.
Helped anyone to enter, or try to enter, the United States illegally?
Yes
No
G.
Gambled illegally or received income from illegal gambling?
Yes
No
H.
Failed to support your dependents or to pay alimony?
Yes
No
I.
Made any misrepresentation to obtain any public benefit in the United States?
Yes
No
31.
Have you EVER given any U.S. Government officials any information or documentation that was false,
Yes
No
fraudulent, or misleading?
32.
Have you EVER lied to any U.S. Government officials to gain entry or admission into the United States or
Yes
No
to gain immigration benefits while in the United States?
33.
Have you EVER been removed, excluded, or deported from the United States?
Yes
No
34.
Have you EVER been ordered removed, excluded, or deported from the United States?
Yes
No
35.
Have you EVER been placed in removal, exclusion, rescission, or deportation proceedings?
Yes
No
36.
Are removal, exclusion, rescission, or deportation proceedings (including administratively closed
Yes
No
proceedings) currently pending against you?
37.
Have you EVER served in the U.S. armed forces?
Yes
No
38.
A.
Are you currently a member of the U.S. armed forces?
Yes
No
B.
If you answered "Yes," are you scheduled to deploy overseas, including to a vessel, within the next
Yes
No
three months? (Refer to the Address Change section in the Instructions on how to notify USCIS if
you learn of your deployment plans after you file your Form N-400.)
C.
If you answered "Yes," are you currently stationed overseas?
Yes
No
39.
Have you EVER been court-martialed, administratively separated, or disciplined, or have you received an
Yes
No
other than honorable discharge, while in the U.S. armed forces?
40.
Have you EVER been discharged from training or service in the U.S. armed forces because you were an
Yes
No
alien?
41.
Have you EVER left the United States to avoid being drafted in the U.S. armed forces?
Yes
No
42.
Have you EVER applied for any kind of exemption from military service in the U.S. armed forces?
Yes
No
43.
Have you EVER deserted from the U.S. armed forces?
Yes
No
Form N-400 12/23/16 N
Page 15 of 20

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