Form N-400 - Application For Naturalization Page 4

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Write your USCIS A-Number here:
Part 7. Time Outside the United States
A
(Including Trips to Canada, Mexico and the Caribbean Islands)
A.
How many total days did you spend outside of the United States during the past five years?
days
B.
How many trips of 24 hours or more have you taken outside of the United States during the past five years?
trips
C.
List below all the trips of 24 hours or more that you have taken outside of the United States since becoming a lawful
permanent resident. Begin with your most recent trip. If you need more space, use a separate sheet of paper.
Date You Left the
Date You Returned to
Did Trip Last
Total Days
United States
the United States
Six Months or
Out of the
Countries to Which You Traveled
(mm/dd/yyyy)
(mm/dd/yyyy)
More?
United States
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Part 8. Information About Your Marital History
A. How many times have you been married (including annulled marriages)?
If you have never been married, go to Part 9.
B. If you are now married, give the following information about your spouse:
1. Spouse's Family Name (Last Name)
Given Name (First Name)
Full Middle Name (If applicable)
2. Date of Birth (mm/dd/yyyy)
3. Date of Marriage (mm/dd/yyyy)
4. Spouse's U.S. Social Security #
Apartment Number
5. Home Address - Street Number and Name
City
State
Zip Code
Form N-400 (Rev. 06/17/11) Y Page 4

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