Form N-600 Table of Changes

TOC N-600 Form 12.20.11.doc

Application for Certificate of Citizenship

Form N-600 Table of Changes

OMB: 1615-0057

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Table of Changes

Form N-600- Form

OMB Control No. 1615-0057

December 20, 2011


LOCATION

CURRENT VERSION

PROPOSED VERSION


Page 1

Print clearly or type your answers, using CAPITAL letters in black ink. Failure to print clearly may delay processing of your application.

Print or type all your answers fully and accurately in black ink. Write or type “N/A” if an item is not applicable. Write or type “None” if the answer is none. Failure to answer all of the questions may delay processing your Form N-600.


Page 1

If your child has an A-Number, write it here:

Your A-Number (if any):


A _ _ _-_ _ _-_ _ _

Page 1, For USCIS Use Only

Returned

Date

Date

Resubmitted

Date Date

Reloc Sent

Date

Date

Relo Rec’d

Date Date



Remarks

Receipt

Action Block

[copy N-600K format}


Bar Code

[text box]


Date Stamp

[text box]


Remarks

[text box]


Action

[text box]



Page 1, Part 1 Information About You

Part 1. Information About You


1. Current legal name

***

2. Name exactly as it appears on your Permanent Resident Card (if applicable)

***

3. Other names used since birth


4. U.S. Social Security # (If applicable)

***

7. Country of Prior Nationality

***


9. Height

Part 2. Information About You (Provide information about yourself if you are a person applying for the Certificate of Citizenship. Provide information about your child if you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child.)


[lower case all “Name” in parenthesis to “name”]


1. Current Legal Name (do not provide a nickname)

***


2. Your name exactly as it appears on your Permanent Resident Card (if different from above)

***


3. Other name(s) you have used since birth (if applicable. Include nicknames)


4. U.S. Social Security Number (if applicable)


***

7. Country of Prior Citizenship/Nationality

***


9. Height


Feet

[text box]


Inches

[text box]

Page 2, Part 3. Additional Information About You


Part 3. Additional Information About You


***

1. Home Address – Street Number and Name (Do not write a P.O. Box in this space)

***


2. Mailing Address – Street Number and Name (if different from home address)


***


County

[text box]

***


3.

Daytime Phone Number (if any)

***


Evening Phone Number (if any)

***


E-Mail Address (if any)

***


4. Marital Status


[text box]

Single, Never Married


[text box]

Married


[text box]

Divorced


[text box]

Widowed

***

5. Information about entry into the United States and current immigration status

***

B. I used the following travel document to enter

***

(Specify Name of Document and Dates of Issuance)

***


C. I entered as:


[text box]

An immigrant (lawful permanent resident) using an immigrant visa


[text box]

A nonimmigrant


[text box]

A refugee


[text box]

Other (explain)________

***



D. I obtained lawful permanent resident status through adjustment of status (if applicable):


Date you became a Permanent Resident (mm/dd/yyyy)

[text box]


USCIS Office where granted adjustment of status

[text box]

***

10.

***

(Only for persons born before October 10, 1952, who are claiming U.S. citizenship at time of birth; otherwise, do not complete this section)

[merge Part 1 with Part 3 and restate as Part 2]


[renumber Questions 1 thru 4 to 10 thru 13 and Questions 5 thru 6 to 15 thru 16]


[renumber Parts 4 thru 5 as Parts 3 thru 5]

***


10. Home Address


Street Number and Name

(do not write a P.O. Box in this space unless it is your ONLY address)

***


11. Mailing Address


C/O (in care of name, if applicable)

[text box]


Street Number and Name


***


[DELETE County]

***


12.

Daytime Phone Number

[text box]


Work Phone Number (if any)

[text box]


Evening Phone Number

[text box]


Mobile Phone Number (if any)

[text box]


13. E-Mail Address (if any)

[text box]


14. Current Marital Status


[text box]

Single, Never Married


[text box]

Married


[text box]

Divorced


[text box]

Widowed


[text box]

Marriage Annulled


[text box]

Other (explain):

***

15. Are you a member or veteran of any branch of the U.S. Armed Forces


Yes

[text box]


No

[text box]


16. Information about admission into the United States and current immigration status


***

B. I used the following travel document to be admitted to the United States

***

(specify document name and issuance date(s))

***


C. I am


[text box]

A Permanent Resident


[text box]

A Nonimmigrant


[text box]

A Refugee/Asylee


[text box]

Other (explain)________


***

D. I obtained permanent resident status through adjustment of status in the United States or admission as a permanent resident (if applicable)


Date I became a permanent resident (mm/dd/yyyy)

[text box]


USCIS office that granted my permanent resident status or location where I was admitted

[text box]

***


18. Have you ever abandoned or lost your permanent resident status?


Yes (attach explanation)

[text box]


No

[text box]


[renumber Questions 7 thru 9 to 19 thru 21]


22. Did your parents marry after you were born?


Yes

[text box]


No

[text box]


23. Do you regularly reside in the United States in the legal and physical custody of your U.S. citizen parent(s)?


Yes

[text box]


No

[text box]


24.

***

(complete the following information only if you are claiming U.S. citizenship at the time of birth if you were born before October 10, 1952.)

***


Place of Entry Upon Return to the United States (City, State)

***


[make sure inside lines in table meet with the table box]

Page 1, Part 2, Information About Your Eligibility

Information About Your Eligibility (Check only one)


A. I am claiming U.S. citizenship through:


[text box]

A U.S. citizen father or a U.S. citizen mother

[text box]

Both U.S. citizen parents


[text box]

A U.S. citizen adoptive parent(s)


[text box]

An alien parent(s) who naturalized


B. I am a U.S. citizen parent applying for a Certificate of Citizenship on behalf of my minor (under 18 years of age) BIOLOGICAL child


C. I am a U.S. citizen parent applying for a Certificate of Citizenship on behalf of my minor (under 18 years of age) ADOPTED child


3. [text box] Other (explain fully)_____________________


Part 1. Information About Your Eligibility (Check only one box. USCIS will reject your Form N-600 if you check more than one box.)

***


This application is being filed based on the fact that:


1. [text box] I am a BIOLOGICAL child of a U.S. citizen parent(s).


2. [text box] I am an ADOPTED child of a U.S. citizen parent(s).


3. [text box] Other (explain fully):_____________________


Page 4, Part 4. Information About U.S. Citizen Father (or Adoptive Father)

Part 4. Information About U.S. Citizen Father (or Adoptive Father) (Complete this section if you are claiming citizenship through a U.S. citizen father. If you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child, provide information about yourself below.)


***

4. Country of Nationality

***

5. Home Address – Street Number and Name (If deceased, so state and enter date of death.)

***

State or Province

[text box]


Country

[text box]


ZIP or Postal Code

[text box]

***


6. U.S. Citizen by:


[text box]

Birth in the United States


[text box]

Birth abroad to U.S. citizen parent(s)


[text box]

Acquisition after birth through naturalization of alien parent(s)


[text box]

Naturalization

***


9. Marital History


A. How many times has your Father been married (including annulled marriages)?

***


B.

***

Home Address – Street Number and Name

***


C. Is your U.S. citizen father’s current spouse also your mother?


Yes

[text box]


No

[text box]


Part 3. Information About Your U.S. Citizen Biological Father (or Adoptive Father) (Complete this section if you are claiming citizenship through a U.S. citizen biological father (or adoptive father). Provide information about yourself if you are a U.S. citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.)


[lower case all “Name” in parenthesis to “name”]


***

4. Country of Citizenship/Nationality

***


5. Home Address


Street Number and Name (write “Deceased” and date of death if your father has passed away.)

***


ZIP Code

[text box]


Province (foreign address only)

[text box]


Country (foreign address only)

[text box]


Postal Code (foreign address only)

[text box]

***

6. My father is a U.S. Citizen by


[text box]

Birth in the United States


[text box]

Acquisition after birth through naturalization of alien parent(s)


[text box]

Birth abroad to U.S. citizen parent(s)


[text box]

Certificate of Citizenship Number


[text box]

A-Number (if known)


[text box]

Naturalization


Date of Naturalization (mm/dd/yyyy)

[text box]


Place of Naturalization (name of court and City/State or USCIS office location)

[text box]


Certificate of Naturalization Number

[text box]


A-Number (if known)

[text box]


***


8. Marital History


A. How many times has your U.S. citizen father been married (including annulled marriages and marriage(s) to the same person)?

***


B. What is your U.S. citizen father’s current marital status?


[text box]

Single, Never Married


[text box]

Married


[text box]

Separated


[text box]

Divorced


[text box]

Widowed


[text box]

Marriage Annulled


[text box]

Other (explain):


C.

***

Spouse’s Home Address


Street Number and Name

***


D. Is your U.S. citizen father’s current spouse also your biological (or adopted) mother?


Yes

[text box]


No

[text box]


Page 5, Part 5. Information About Your U.S. Citizen Mother (or Adoptive Mother)

Part 5. Information About Your U.S. Citizen Mother (or Adoptive Mother)

***

4. Country of Nationality

***

5. Home Address – Street Number and Name (If deceased, so state and enter date of death.)

***


State or Province

[text box]


Country

[text box]


ZIP or Postal Code

[text box]

***


6. U.S. Citizen by:


[text box]

Birth in the United States


[text box]

Birth abroad to U.S. citizen parent(s)


[text box]

Acquisition after birth through naturalization of alien parent(s)


[text box]

Naturalization

***


9. Marital History


A. How many times has your Father been married (including annulled marriages)?

***


B.

***

Home Address – Street Number and Name

***

C. Is your U.S. citizen father’s current spouse also your father?


Yes

[text box]


No

[text box]


Part 4. Information About Your U.S. Citizen Biological Mother (or Adoptive Mother) (Complete this section if you are claiming citizenship through a U.S. citizen biological mother (or adoptive mother). Provide information about yourself if you are a U.S. citizen mother applying for a Certificate of Citizenship on behalf of your minor biological or adopted child.)


[lower case all “Name” in parenthesis to “name”]


***

4. Country of Citizenship/Nationality

***


5. Home Address


Street Number and Name (write “Deceased” and date of death if your mother has passed away)

***


ZIP Code

[text box]


Province (foreign address only)

[text box]


Country (foreign address only)

[text box]


Postal Code (foreign address only)

[text box]

***


6. My mother is a U.S. Citizen by


[text box]

Birth in the United States


[text box]

Acquisition after birth through naturalization of alien parent(s)


[text box]

Birth abroad to U.S. citizen parent(s)


[text box]

Certificate of Citizenship Number


[text box]

A-Number (if known)


[text box]

Naturalization


Date of Naturalization (mm/dd/yyyy)

[text box]


Place of Naturalization (name of Court and City/State or USCIS Office Location)

[text box]


Certificate of Naturalization Number

[text box]


A-Number (if known)

[text box]


***


8. Marital History


A. How many times has your U.S. mother been married (including annulled marriages and marriage(s) to the same person)?

***


B. What is your U.S. citizen mother’s current marital status?


[text box]

Single, Never Married


[text box]

Married


[text box]

Separated


[text box]

Divorced


[text box]

Widowed


[text box]

Marriage Annulled


[text box]

Other (explain):


C.

***

Spouse’s Home Address


Street Number and Name

***


D. Is your U.S. citizen mother’s current spouse also your biological (or adopted) father?


Yes

[text box]


No

[text box]



[new part]

Part 5. Physical Presence in the United States From Birth Until Filing Form N-600


(Only applicants born outside the United States claiming to have been born U.S. citizens are required to provide all the dates when your U.S. citizen biological father or U.S. citizen biological mother resided in the United States. Include all dates from your birth until the date you file your Form N-600.


Indicate whether this information relates to your U.S. citizen (USC) father or mother.


USC Father


USC Mother


[table]

Physical Presence in the United States ( mm/dd/yyyy)


From Until

[table]


Page 6, Information About Military Service of U.S. Citizen Parents


[verbiage remains the same]

Page 6, Signature

Signature


Applicant’s Signature

[text box]


Printed Name

[text box]

***

Part 7. Your Signature (USCIS will reject your Form N-600 if it is not signed.)


Your Signature (parent may sign on behalf of a minor child)

[text box]


***

Page 6, Part 8 Signature of Person Preparing This Form, If Other Than Applicant

Signature of Person Preparing This Form, If Other Than Applicant


Preparer’s Signature

[text box]


Preparer’s Printed Name

[text box]

***


Name of Business/Organization (if applicable)

***


Preparer’s Address - Street Number and Name (Do not write a P.O. Box in this space)

***



Part 8. Signature of Person Who Prepared This Form N-600 For You (if applicable)

***

Preparer’s Printed Name

[text box]


Preparer’s Signature

[text box]


***


Preparer’s Firm or Organization Name (if applicable)

[text box]

***


Preparer’s Address


Street Number and Name

***


Preparer’s E-Mail Address

[text box]


Preparer’s Fax Number

[text box]


Page 7, Part 9. Affidavit

Part 9. Affidavit


Signature of parent, guardian, or applicant

***


Signature of Interviewing Officer

[text box]


Title

Part 9. Affidavit (do NOT complete this part unless instructed to do so AT THE INTERVIEW)


Applicant’s, Parent’s, or Legal Guardian’s signature

***


USCIS Officer’s Name and Title

[text box]


USCIS Officer’s Signature

[text box]


Page 7, Part 10. Officer Report and Recommendation on Application for Certificate of Citizenship

Part 10. Officer Report and Recommendation on Application for Certificate of Citizenship


***

District Adjudication Officer’s Name and Title


District Adjudication Officer’s Signature

***


On the basis of the documents, records and the testimony of person examined, and the identification upon person appearance of the underage beneficiary, I find that all the facts and conclusions set forth under oath in this application are [text box] true and correct; that the applicant did [text box] derive or acquire U.S. citizenship on __________ (mm/dd/yyyy), through (mark “X” in appropriate section of law or, if section of law not reflected, insert applicable section of law in “Other” block): [text box] section 301 of the INA [text box] section 309 of the INA [text box] section 320 of the INA [text box] section 321 of the INA [text box] Other ___and that (s)he [text box] has [text box] not been expatriated since that time. I recommend that this application be [text box] granted [text box] denied and that [text box] A or [text box] AA Certificate of Citizenship be issued in the name of ____________.


Officer’s Name and Title

[text box]


Officer’s Signature

[text box]


I do [text box] do not [text box] concur in recommendation of the application.


District Director or Officer-in-Charge Signature

Part 10. Officer Report and Recommendation on Application for Certificate of Citizenship

(for USCIS use ONLY)


On the basis of the documents, records, the testimony of person(s) examined, and the identification upon personal appearance of the underage beneficiary, I find that all the facts and conclusions set forth under oath in this application are:


1. [text box] True and correct


2. [text box] The applicant derived or acquired U.S. citizenship on [text box] (mm/dd/yyyy)


3. The applicant derived or acquired U.S. citizenship through (mark “X” in appropriate section of law or, if section of law not reflected, insert applicable section of law in “Other” block)


[text box] Section 301 of the INA


[text box] Section 309 of the INA


[text box] Section 320 of the INA


[text box] Section 321 of the INA


[text box] Other: ______


4. [text box] The applicant has not been expatriated since that time


I recommend that this Form N-600 application be


[text box] Approved


[text box] Denied


Issue Certificate of Citizenship in the name of

Last Name

[text box]


First Name

[text box]


Middle Name

[text box]


USCIS Officer’s Name and Title

[text box]


USCIS Officer’s Signature

[text box]


I do [text box] do not [text box] concur with the USCIS Officer’s recommendation of the Form N-600.


USCIS District Director’s or USCIS Field Office Director’s Signature

[text box]


16

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