Form N-600k - Application For Citizenship And Issuance Of Certificate Under Section 322 Page 4
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13A-
Part 3. Information About the Child's U.S. Citizen Biological or Adoptive
Parent (continued)
11.
The parent is a U.S. citizen by:
Birth in the United States
Acquisition after birth through naturalization of alien parents
Birth abroad to U.S. citizen parents
Certificate of Citizenship Number
Alien Registration Number (A-Number) (if known)
►
A-
Naturalization
Place of Naturalization
Name of Court or USCIS Office Location
City or Town
State
Certificate of Naturalization Number
A-Number (if known)
Date of Naturalization (mm/dd/yyyy)
►
A-
12.
Has the U.S. citizen father or mother ever lost U.S. citizenship or taken any action that would cause
Yes
No
loss of U.S. citizenship?
If the answer is “Yes” to Item Number 12., provide a full explanation in the space provided in Part 11. Additional Information.
13.
Marital History
A. How many times has the U.S. citizen father or mother been married (including annulled
marriages and marriages to the same person)?
B. What is the U.S. citizen father or mother's current marital status?
Single, Never Married
Married
Divorced
Widowed
Separated
Marriage Annulled
Other (Explain):
C. Information About the U.S. Citizen Father's or Mother's Current Spouse
Family Name (Last Name)
Given Name (First Name)
Middle Name
Date of Birth (mm/dd/yyyy)
Country of Birth
Country of Citizenship or Nationality
Spouse's Physical Address
Street Number and Name (Do not provide a PO Box in this space unless it is your spouse's
ONLY address.)
Apt. Ste. Flr. Number
City or Town
State
ZIP Code
-
Province
Postal Code
Country
Form N-600K 02/13/17 N
Page 4 of 13
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