Instructions For Application For Citizenship And Issuance Of Certificate Under Section 322 (Form N-600k) (Page 9 of 16) in pdf

Item Number 15 Was there any prior application for citizenship or for a U.S. passport? If the child or someone on

behalf of the child previously applied for a Certificate of Citizenship or a U.S. Passport, explain what happened with that

application and whether the Certificate of Citizenship or U.S. Passport was or was not issued. If you need extra space to

provide any additional information within this application, use the space provided in Part 11. Additional Information.

Item Number 16. Information on Adoption. Provide the necessary information requested.

Item Number 17. Were the child’s parents married to each other when the child was born (or adopted)? Indicate

whether the child’s parents were married to each other at the time of the child’s birth. If the child was born out of

wedlock, indicate “No,” even if the parents subsequently married. If the child was adopted, indicate whether the adoptive

parents were married to each other at the time of the adoption.

Part 3. Information About the Child’s U.S. Citizen Biological or Adoptive Parent

Item Number 1. Current Legal Name of U.S. Citizen Parent. Provide the legal name of the child’s U.S. citizen

biological or adoptive parent. This should be the name on the U.S. citizen parent’s birth certificate, unless it has been

changed after birth by legal action such as marriage, adoption, or court order. Do not provide a nickname.

Item Number 2. Date of Birth of U.S. Citizen Parent. Use eight numbers to show the date of birth. For example, May

1, 1992, must be typed or printed as 05/01/1992.

Item Number 3. Country of Birth of U.S. Citizen Parent. Provide the name of the country where the person was born.

Type or print the name of the country as it was when the person was born even if the country’s name has since changed or

the country no longer exists.

Item Number 4. U.S. Social Security Number of U.S. Citizen Parent (if applicable). Type or print the U.S. citizen

parent’s U.S. Social Security Number. Type or print “N/A” if you do not have one.

Item Number 5. Physical Address. Provide the address where the U.S. citizen parent now resides. Do not type or print

a Post Office (PO) Box number here unless it is the U.S. citizen parent’s ONLY address.

NOTE: If the U.S. citizen parent resides outside the United States. If the U.S. citizen parent’s does not have a State

or Province, enter the name of the city again in that box. If the person does not have a ZIP or Postal Code, enter 00000 in

the ZIP or Postal Code box.

Item Numbers 6. - 9. U.S. Citizen Parent’s Telephone Numbers. Provide the U.S. citizen parent’s daytime, work,

evening, and mobile telephone numbers.

Item Number 10. U.S. Citizen Parent’s Email Address (if any). Provide the U.S. citizen parent’s email address, if any.

Item Number 11. U.S. Citizenship. Provide all the requested information regarding how the parent became a U.S.

citizen.

Item Number 12. Has the U.S. citizen father or mother ever lost U.S. citizenship or taken any action that would

cause loss of U.S. citizenship? If you answered, “Yes,” use the space provided in Part 11. Additional Information to

provide information if the parent ever lost U.S. citizenship regardless of whether it has since been regained.

Item Number 13. Marital History.

A. Type or print the number of times the qualifying U.S. citizen parent has been married, including annulled marriages.

Count each marriage as separate if the parent married the same person more than one time.

B. Select the marital status the U.S. citizen parent has on the date Form N-600K was filed. Select “Other” if the parents’

marriage was otherwise legally terminated and explain.

Form N-600K Instructions 02/13/17 N

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Instructions For Application For Citizenship And Issuance Of Certificate Under Section 322 (Form N-600k) Page 9