N-565 Form Table of Changes

TABLE OF CHANGES – FORM

Instructions for Form N-565, Application for Replacement Naturalization/Citizenship Document

OMB Number: 1615-0091

08/19/2020

Reason for Revision: Biometrics Rule

Project Phase: NPRM

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 10/31/2021

Edition Date 10/21/2019

Current Page Number and Section	Current Text	Proposed Text
Page 1, Part 1. Information From Current Certificate or Declaration	[Page 1] Part 1. Information From Current Certificate or Declaration 1. Your Full Name Provide your full name exactly as it is printed on the certificate or declaration. Family Name (Last Name) Given Name (First Name) Middle Name 2. Country of Former Citizenship or Nationality 3. Certificate or Declaration Number 4. Alien Registration Number (A-Number) …	[Page 1] Part 1. Information From Current Certificate or Declaration 1. Your Full Name Provide your full name exactly as it is printed on the certificate or declaration. Family Name (Last Name) Given Name (First Name) Middle Name 2. Date of Birth (mm/dd/yyyy) 3. Country of Former Citizenship or Nationality 4. Certificate or Declaration Number 5. Alien Registration Number (A-Number) …
Page 6, Part 10. Applicant’s Statement, Contact Information, Certification, and Signature	[Page 6] Part 10. Applicant’s Statement, Contact Information, Certification, and Signature … I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. I understand that USCIS will require me to appear for an appointment to take my biometrics and, at that time, I will be required to sign an oath reaffirming that: 1) I reviewed and provided or authorized all of the information in my application; 2) I understood all of the information contained in, and submitted with, my application; and 3) All of this information was complete, true, and correct at the time of filing. I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.	[Page 6] Part 10. Applicant’s Statement, Contact Information, Certification, and Signature … I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. [deleted] I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.

1