Form N-470 - Application To Preserve Residence For Naturalization Purposes
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7Application to Preserve Residence
for Naturalization Purposes
USCIS
Form N-470
Department of Homeland Security
OMB No. 1615-0056
U.S. Citizenship and Immigration Services
Expires 05/31/2019
For USCIS Use Only
Barcode
Date Stamp
Action Block
Remarks
Attorney State Bar Number
Select this box if
Attorney or Accredited Representative
To be completed by an
Form G-28 is
(if applicable)
USCIS Online Account Number (if any)
attorney or accredited
attached.
representative (if any).
►
START HERE - Type or print in black ink.
NOTE: Type or print "N/A" if an item is not applicable. Type or print "None" if the answer is none. Failure to answer all of the
questions may delay your Form N-470.
Enter Your 9 Digit A-Number:
►
Part 1. Information About Your Eligibility
A-
My absence from the United States is on behalf of (Select only one box):
1.
The U.S. Government (employed by, or are under contract with, the U.S. Government).
2.
An American institution of research to perform scientific research.
3.
An American firm or corporation, or a subsidiary thereof, to engage in the development of foreign trade and commerce of the
United States.
4.
An American firm or corporation to protect the property rights outside the United States of that American firm or corporation
engaged in the development of foreign trade and commerce of the United States.
5.
A public international organization of which the United States is a member. (Your employment must have started after your
admission as a lawful permanent resident.)
6.
A denomination or mission having a bona fide organization in the United States in which I perform ministerial or priestly
functions or my sole capacity is of a clergyman or clergywoman, missionary, brother,
nun,
or sister.
Part 2. Information About You
1.
Your Current Legal Name (do not provide a nickname)
Family Name (Last Name)
Given Name (First Name)
Middle Name
2.
Other Names Used (if any)
List all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this
section, use the space provided in Part 7. Additional Information.
Family Name (Last Name)
Given Name (First Name)
Middle Name
Form N-470 12/23/16 N
Page 1 of 7
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