Form Ds-5507 - Affidavit Of Parentage, Physical Presence And Support Page 2
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5That I have been physically present in the United States as follows:
Date
Date
Place
(City, State)
(mm-dd-yyyy)
(mm-dd-yyyy)
From
To
From
To
From
To
From
To
From
To
(Continue on a separate sheet, if necessary)
Purpose
(Indicate purpose of trip: vacation, residence,
That I have been physically present abroad as follows:
business, studies, U.S. government employment,
Date
Date
U.S. military service,U.S. military dependent, etc. If
Place
(Country)
(mm-dd-yyyy)
(mm-dd-yyyy)
working abroad give name of employer)
From
To
From
To
From
To
From
To
(Continue on a separate sheet, if necessary)
That the other biological parent of the above-named child/children for whom I am applying for citizenship is
Name
is a citizen or national of the U.S.
is not a citizen of the U.S.
If the other parent is a U.S. citizen/U.S. non-citizen national it is by:
1) birth in
on
City/Town, State
Date
(mm-dd-yyyy)
2) naturalization on
before the
Date
(mm-dd-yyyy)
Name of Court
3) birth abroad on
to U.S. citizen(s)/U.S. non-citizen national(s) in
Date
(mm-dd-yyyy)
Country
DS-5507
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