Form N-565 - Application For Replacement Naturalization/citizenship Document Page 5
Download a blank fillable Form N-565 - Application For Replacement Naturalization/citizenship Document in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form N-565 - Application For Replacement Naturalization/citizenship Document with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7Part 9. Applicant's Statement, Contact Information, Certification, and Signature (continued)
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or
signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
1) I reviewed and provided or authorized all of the information in my application;
2) I understood all of the information contained in, and submitted with, my application; and
3) All of this information was complete, true, and correct at the time of filing.
I certify, under penalty of perjury, that I provided or authorized all of the information in my application, I understand all of the
information contained in, and submitted with, my application, and that all of this information is complete, true, and correct.
Applicant's Signature
6.
Applicant's Signature
Date of Signature
(mm/dd/yyyy)
NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the
Instructions, USCIS may deny your application.
Part 10. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.
Interpreter's Family Name (Last Name)
Interpreter's Given Name (First Name)
2.
Interpreter's Business or Organization Name (if any)
Interpreter's Mailing Address
Number
3.
Street Number and Name
Apt.
Ste.
Flr.
City or Town
State
ZIP Code
Province
Postal Code
Country
Interpreter's Contact Information
5. Interpreter's Mobile Telephone Number (if any)
4.
Interpreter's Daytime Telephone Number
6.
Interpreter's Email Address (if any)
Form N-565 06/13/17 N
Page 5 of 7
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal