Write your USCIS A-Number here:
Part 10. Additional Questions (
Continued)
A
B. Affiliations.
8. a
Have you ever been a member of or associated with any organization, association, fund
Yes
No
foundation, party, club, society, or similar group in the United States or in any other place?
b.
If you answered ''Yes,'' list the name of each group below. If you need more space, attach the names of the other group(s) on a
separate sheet of paper.
Name of Group
Name of Group
1.
6.
2.
7.
3.
8.
4.
9.
5.
10.
9. Have you ever been a member of or in any way associated (either directly or indirectly) with:
a. The Communist Party?
Yes
No
b. Any other totalitarian party?
Yes
No
c. A terrorist organization?
Yes
No
10. Have you ever advocated (either directly or indirectly) the overthrow of any government
Yes
No
by force or violence?
11. Have you ever persecuted (either directly or indirectly) any person because of race,
Yes
No
religion, national origin, membership in a particular social group, or political opinion?
12. Between March 23, 1933, and May 8, 1945, did you work for or associate in any way (either
directly or indirectly) with:
a. The Nazi government of Germany?
Yes
No
b. Any government in any area (1) occupied by, (2) allied with, or (3) established with the
help of the Nazi government of Germany?
Yes
No
c. Any German, Nazi, or S.S. military unit, paramilitary unit, self-defense unit, vigilante unit,
citizen unit, police unit, government agency or office, extermination camp, concentration
camp, prisoner of war camp, prison, labor camp, or transit camp?
Yes
No
C. Continuous Residence.
Since becoming a lawful permanent resident of the United States:
13. Have you ever called yourself a ''nonresident'' on a Federal, State, or local tax return?
Yes
No
14. Have you ever failed to file a Federal, State, or local tax return because you considered
Yes
No
yourself to be a "nonresident"?
Form N-400 (Rev. 06/17/11) Y Page 7