Form I-600a - Application For Advance Processing Of An Orphan Petition Page 2
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3BLOCK I - Information About the Prospective Adoptive Parent (Continued)
8. My marital status is:
a.
Married
Widowed
Divorced
Single
b. If you are now or if you have been married, how may time have you been married (include current marriage if married):
9. If you are now married, provide the following information:
Date of present marriage (mm/dd/yyyy):
Place of present marriage:
Name of present spouse:
(Last)
(First)
(Middle)
(Maiden, if any)
Date of birth of present spouse (mm/dd/yyyy):
Place of birth of present spouse:
My spouse has been married
time(s) (include current marriage)
My spouse resides:
With me
Apart from me (provide address below)
Number and Street
Apt. No.
City
State
Country
BLOCK II - General Information
10. Name and address of organization or individual assisting you in locating or identifying an orphan.
Name of organization or individual:
Address of organization or individual:
11. Do you plan to travel abroad to locate or adopt a child?
No
Yes
12. Does your spouse, if any, plan to travel abroad to locate or adopt a child?
No
Yes
13. If the answer to Question 11 or 12 is "Yes," provide the following information, if known:
a. Your date of intended departure (mm/dd/yyyy):
b. Your spouse's date of intended departure (mm/dd/yyyy):
c. Names of city, province, country you are traveling to:
14. Will the child be adopted abroad after having been personally seen and observed by you and your
No
Yes
spouse (if married)?
15. Will the preadoption requirements, if any, of the child's proposed State of residence be met prior to or
No
Yes
after the child enters the United States?
16. From what country do you plan to adopt, if known?
17. Where do you wish to file your orphan petition? (Complete one of the options below)
The USCIS office located at:
The U.S. Embassy or consulate at:
OR
Form I-600A (Rev. 01/12/11) Y Page 2
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