Fillable Uscis Form N-400 - Application For Naturalisation (Page 3 of 20) in pdf

Uscis Form N-400 - Application For Naturalisation Page 3

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A-

Part 3. Accommodations for Individuals With Disabilities and/or

Impairments (continued)

I have another type of disability and/or impairment (for example, use a wheelchair). (Describe the nature of your

disability and/or impairment and the accommodation you are requesting.)

Part 4. Information to Contact You

Daytime Telephone Number

Work Telephone Number (if any)

Evening Telephone Number

Mobile Telephone Number (if any)

Email Address (if any)

Part 5. Information About Your Residence

Where have you lived during the last five years? Provide your most recent residence and then list every location where you

have lived during the last five years. If you need extra space, use additional sheets of paper.

A. Current Physical Address

Street Number and Name

Apt.

Ste.

Flr.

Number

City or Town

County

State

ZIP Code + 4

Province or Region

Postal Code

Country

(foreign address only)

From (mm/dd/yyyy)

To (mm/dd/yyyy)

Dates of

Residence

Current Mailing Address (if different from the address above)

In Care Of Name (if any)