Form N-600k - Application For Citizenship And Issuance Of Certificate
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7OMB No. 1615-0087; Expires 02/28/2013
N-600K, Application for Citizenship and
Department of Homeland Security
Issuance of Certificate Under Section 322
U.S. Citizenship and Immigration Services
Print clearly or type your answers in black ink, using CAPITAL letters. Failure to print clearly may delay your application.
Part 1. Information about your child. (Provide information about the child on
If your child has an "A" Number,
whose behalf this application for citizenship and a Certificate of
write it here:
Citizenship is being filed.)
-
-
A. Current legal name
.
Family Name (Last Name)
For USCIS Use Only
Given Name (First Name)
Full Middle Name (If applicable)
Date Stamp
Bar Code
B. Name exactly as it appears on your Permanent Resident Card (If applicable).
Family Name (Last Name)
Given Name (First Name)
Full Middle Name (If applicable)
Remarks
C. Other names used since birth.
Family Name (Last Name)
Given Name (First Name)
Middle Name (If Applicable)
Action
D. U.S. Social Security # (If Applicable)
E. Date of Birth (mm/dd/yyyy)
F. Country of Birth
G. Country of Citizenship/Nationality
H. Gender
I.
Height
Male
Female
Part 2. Information About the Child's Eligibility. (Check only one.)
This application is being filed on my behalf based on the fact that:
A.
I am a BIOLOGICAL child (under 18 years) of a United States citizen parent who is applying for citizenship on my behalf.
B.
I am an ADOPTED child (under 18 years) of a United States citizen parent who is applying for citizenship on my behalf.
C.
I am a child (under 18 years) of a United States citizen parent who died during the five years preceding the filing of this
application. A United States citizen grandparent or a United States citizen legal guardian is applying for citizenship on my
behalf.
Part 3. Additional Information About the Child. (Provide information about the child on whose behalf this
application for citizenship and a Certificate of Citizenship is being filed.)
Apartment Number
A. Home Address - Street Number and Name (Do not write a P.O. Box in this space.)
City
County
State or Province
Country
Zip Code
Form N-600K (02/05/12) Y
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