Form N-400 - Application For Naturalization Page 8
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10Write your USCIS A-Number here:
Part 10. Additional Questions
(continued)
A
D. Good Moral Character.
For the purposes of this application, you must answer ''Yes'' to the following questions, if applicable, even if your records were
sealed or otherwise cleared or if anyone, including a judge, law enforcement officer, or attorney, told you that you no longer have a
record.
15. Have you ever committed a crime or offense for which you were not arrested?
Yes
No
16. Have you ever been arrested, cited, or detained by any law enforcement officer
Yes
No
(including USCIS or former INS and military officers) for any reason?
17. Have you ever been charged with committing any crime or offense?
Yes
No
18. Have you ever been convicted of a crime or offense?
Yes
No
19. Have you ever been placed in an alternative sentencing or a rehabilitative program
Yes
No
(for example: diversion, deferred prosecution, withheld adjudication, deferred adjudication)?
20. Have you ever received a suspended sentence, been placed on probation, or been paroled?
Yes
No
21. Have you ever been in jail or prison?
Yes
No
If you answered "Yes" to any of Questions 15 through 21, complete the following table. If you need more space, use a separate sheet
of paper to give the same information.
Why were you arrested, cited,
Date arrested, cited,
Where were you arrested,
Outcome or disposition of the
detained, or charged?
detained, or charged?
cited, detained, or charged?
arrest, citation, detention, or charge
(mm/dd/yyyy)
(City, State, Country)
(No charges filed, charges
dismissed, jail, probation, etc.)
Answer Questions 22 through 33. If you answer "Yes" to any of these questions, attach (1) your written explanation why your answer
was ''Yes'' and (2) any additional information or documentation that helps explain your answer.
22. Have you ever:
a. Been a habitual drunkard?
Yes
No
b. Been a prostitute, or procured anyone for prostitution?
Yes
No
c. Sold or smuggled controlled substances, illegal drugs, or narcotics?
Yes
No
d. Been married to more than one person at the same time?
Yes
No
e. Helped anyone enter or try to enter the United States illegally?
Yes
No
f. Gambled illegally or received income from illegal gambling?
Yes
No
g. Failed to support your dependents or to pay alimony?
Yes
No
23. Have you ever given false or misleading information to any U.S. Government official
while applying for any immigration benefit or to prevent deportation, exclusion, or removal?
Yes
No
24. Have you ever lied to any U.S. Government official to gain entry or admission into the
United States?
Yes
No
Form N-400 (Rev. 06/17/11) Y Page 8
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