Form I-600a - Application For Advance Processing Of An Orphan Petition Page 2
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12Part 1. Information About You (Applicant) (continued)
6.
Address Abroad (if any)
Street Number and Name
Apt.
Ste.
Flr.
Number
City or Town
State
Province
Postal Code
Country
7.
Date of Birth (mm/dd/yyyy)
8.
City/Town/Village of Birth
►
9.
State or Province of Birth
10.
Country of Birth
11. Information About U.S. Citizenship
A.
Are you a citizen of the United States?
Yes
No
NOTE: If you answered "No," you may NOT file Form I-600A. See the What Are the Eligibility Requirements? section
of the Form I-600A instructions for more information.
B.
How did you acquire your U.S. citizenship?
Birth
Parents
Naturalization
C.
If you acquired your citizenship through your parents, have you obtained a Certificate of Citizenship in your own name?
Yes
No
If "Yes," provide the following information about your Certificate of Citizenship:
Name Under Which the Certificate of Citizenship Was Issued
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Alien Registration Number (A-Number) (if any)
Certificate of Citizenship Number
►
A-
Date of Issuance
Place of Issuance
(mm/dd/yyyy) ►
D.
If you acquired your citizenship through naturalization, provide the following information about your Certificate of
Naturalization:
Name Under Which the Certificate of Naturalization Was Issued
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
A-Number (if any)
Certificate of Naturalization Number
►
A-
Date of Naturalization
Place of Naturalization
►
(mm/dd/yyyy)
Form I-600A 12/23/16 N
Page 2 of 12
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