Form I-600 - Petition To Classify Orphan As An Immediate Relative Page 3
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14Part 1. Information About You (Petitioner) (continued)
12.
Have you, or any person through whom you claimed citizenship, EVER lost U.S. citizenship?
Yes
No
NOTE: If you answered "Yes," attach a detailed explanation on a separate sheet of paper; type or print your A-Number (if any) at
the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date
each sheet.
13. What is your marital status?
Married
Widowed
Divorced
Single
14.
How many times have you been married (including your current marriage, if applicable)?
15. Date of Current Marriage (if applicable)
16. Place Where Current Marriage Occurred (if applicable)
(mm/dd/yyyy) ►
17.
Information About Your Current Spouse (if applicable)
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Other Names Your Current Spouse Has Used (including maiden name, nicknames, and aliases, if any)
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Date of Birth
A-Number (if any)
City/Town/Village of Birth
(mm/dd/yyyy) ►
►
A-
State or Province of Birth
Country of Birth
Spouse's Immigration Status
18.
How many times has your current spouse been married (including your current marriage, if applicable)?
19.
Does your current spouse reside with you?
Yes
No
If you answered "No," provide your current spouse's physical address in Item Number 20.
20.
Your Current Spouse's Physical Address
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
ZIP Code
Province
Postal Code
Country
21.
How many persons 18 years of age or older, other than your current spouse (if married), reside with you?
If you answered "1" or more, you MUST complete Form I-600A/I-600 Supplement 1, Listing of Adult Member of the Household,
for each person.
Form I-600 12/23/16 N
Page 3 of 14
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