Uscis Form N-400 - Application For Naturalisation Page 5
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20Part 6. Information About Your Parents (continued)
A-
A. Current Legal Name of U.S. Citizen Mother
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
B. Mother's Country of Birth
C.
Mother's Date of Birth (mm/dd/yyyy)
D.
Date Mother Became a U.S. Citizen
E. Mother's A-Number
(if known) (mm/dd/yyyy)
(if any)
►
A-
Information About Your Father
3.
Is your father a U.S. citizen?
Yes
No
If you answered ''Yes," complete the information below. If you answered "No," go to Part 7.
A.
Current Legal Name of U.S. Citizen Father
Family Name (Last Name)
Given Name (First Name)
Middle Name (if applicable)
B. Father's Country of Birth
C. Father's Date of Birth (mm/dd/yyyy)
D.
Date Father Became a U.S. Citizen
E. Father's A-Number
(if known) (mm/dd/yyyy)
(if any)
►
A-
Part 7. Biographic Information
NOTE: USCIS requires you to complete the categories below to conduct background checks. (See the Form N-400 Instructions for
more information.)
1.
Ethnicity (Select only one box)
Hispanic or Latino
Not Hispanic or Latino
2.
Race (Select all applicable boxes)
White
Asian
Black or
American Indian
Native Hawaiian or
African American
or Alaska Native
Other Pacific Islander
3.
Height Feet
Inches
4.
Weight
Pounds
5.
Eye color (Select only one box)
Black
Blue
Brown
Gray
Green
Hazel
Maroon
Pink
Unknown/
Other
6.
Hair color (Select only one box)
Bald
Black
Blond
Brown
Gray
Red
Sandy
White
Unknown/
(No hair)
Other
Form N-400 09/29/16 Y
Page 5 of 20
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