Uscis Form N-400 - Application For Naturalisation Page 20

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Part 17. Renunciation of Foreign Titles
A-
If you answered "Yes" to Part 12., Items A. and B. in Item Number 4., then you must affirm the following before a USCIS officer:
I further renounce the title of
which I have heretofore held; or
(list titles)
I further renounce the order of nobility of
to which I have heretofore belonged.
(list order of nobility)
Applicant's Printed Name
Applicant's Signature
USCIS Officer's Printed Name
USCIS Officer's Signature
Date of Signature (mm/dd/yyyy)
Part 18. Oath of Allegiance
If your application is approved, you will be scheduled for a public oath ceremony at which time you will be required to take the
following Oath of Allegiance immediately prior to becoming a naturalized citizen. By signing below you acknowledge your
willingness and ability to take this oath:
I hereby declare on oath, that I absolutely and entirely renounce and abjure all allegiance and fidelity to any foreign prince, potentate,
state, or sovereignty, of whom or which I have heretofore been a subject or citizen;
that I will support and defend the Constitution and laws of the United States of America against all enemies, foreign, and domestic;
that I will bear true faith and allegiance to the same;
that I will bear arms on behalf of the United States when required by the law;
that I will perform noncombatant service in the armed forces of the United States when required by the law;
that I will perform work of national importance under civilian direction when required by the law; and
that I take this obligation freely, without any mental reservation or purpose of evasion; so help me God.
Applicant's Printed Name
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
Applicant's Signature
Date of Signature (mm/dd/yyyy)
Form N-400 09/29/16 Y
Page 20 of 20

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