N-600K Application for Citizenship and Issuance of Certificate

Application for Citizenship and Issuance
of Certificate Under Section 322

USCIS
Form N-600K

Department of Homeland Security
U.S. Citizenship and Immigration Services
Receipt

Date Stamp

For
USCIS
Use
Only
Remarks

OMB No. 1615-0087
Expires 11/30/2025
Action Block

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To be completed
by an Attorney
or Accredited
Representative (if any).

Select this box if
Form G-28 or
G-28I is
attached.

Attorney State Bar Number
(if applicable)

Attorney or Accredited Representative
USCIS Online Account Number (if any)

► START HERE - Type or print in black ink.
NOTE: The applicant on this form is the child's parent, grandparent, or legal guardian.

Part 1. Information About the Child's Eligibility

Child's A-Number:
► A-

1.

Is the child under 18 years of age?

Yes

No

2.

Is the child residing outside the United States?

Yes

No

3.

Does the child regularly reside in the legal and physical custody of a U.S. citizen parent (or, if the
U.S. citizen parent is deceased, an individual who does not object to the application)?

Yes

No

NOTE: If you answered “No” to any of the questions in Item Numbers 1. - 3., do not file Form N-600K. The child is not eligible to
obtain citizenship via Form N-600K.
4.

Is the child a lawful permanent resident?

5.

Are either of the child's parents (or the spouse of either of the child's parents) currently a member of
the U.S. armed forces stationed outside the United States?
Yes (answer Item Numbers 6. and 7.)

Yes

No

No (go to Item Number 8.)

6.

Does the member of the U.S. armed forces have official orders that authorize the child to accompany
and reside with the member of the U.S. armed forces?

Yes

No

7.

If the child's U.S. citizen parent is the spouse of the member of the U.S. armed forces, is the U.S.
citizen parent authorized to accompany and reside with the U.S. armed forces member as provided by
the member's official orders?

Yes

No

8.

Are either of the child's parents (or the spouse of either of the child's parents) currently a U.S.
Government employee stationed outside the United States?

Yes

No

NOTE: If you answered “Yes” to Item Numbers 4. - 7., or if you answered “Yes” to Item Numbers 4. and 8., the child may not be
eligible to obtain citizenship via Form N-600K. See “Who Should Not File Form N-600K?” in the Instructions for more information.

Form N-600K Edition 09/17/19 E

Page 1 of 10

Part 2. Person Filing this Application
1.

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I am the child's:
U.S. Citizen Parent

U.S. Citizen Grandparent

U.S. Citizen Legal Guardian

NOTE: In order for a grandparent or a legal guardian to file this application, the child's U.S. citizen parent must have died during the
last five years.

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Part 3. Information About the Child for Whom This Application Is Being Filed
1.

What is the child's relationship to their U.S. citizen parent?

The biological child of a U.S. citizen parent. (If the U.S. citizen parent is the child's biological father, you will generally
have to establish that the child was born in wedlock or legitimated).
The child of a non-genetic gestational U.S. citizen parent (person who carried and gave birth to the child) who is also the
child's legal parent.
The child of a U.S. citizen parent who was married to the child's genetic or gestational parent at the time of their birth (even
if no genetic or gestational relationship exists with the U.S. citizen parent) and both of the child's parents are also their legal
parents.
The adopted child of a U.S. citizen parent.
2.

Child's Current Legal Name (Do not provide a nickname)
Family Name (Last Name)

3.

Given Name (First Name)

Middle Name (if applicable)

Other Names Used (if any)

Provide all other names the child has ever used since birth, including aliases, name at birth, and nicknames. If you need extra
space to complete this section, use the space provided in Part 13. Additional Information.
Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

4.

USCIS Online Account Number (if any)
►

5.

Date of Birth (mm/dd/yyyy)

6.

Country of Birth

7.

Country of Citizenship or Nationality

8.

Gender
Male

9.
Female

Height
Feet

Inches

10. Marital Status
Single, Never Married

Married

Divorced

Widowed

Separated

11. Has anyone applied for a U.S. passport or a Certificate of Citizenship for this this child before?

Form N-600K Edition 09/17/19 E

Marriage Annulled
Yes

No

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Part 3. Information About the Child for Whom This Application Is Being
Filed (continued)
12. Current Mailing Address

(USPS ZIP Code Lookup)

In Care Of Name (if any)

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Street Number and Name

City or Town

Apt. Ste. Flr. Number

State

Postal Code

Province

ZIP Code
-

Country

13. Current Physical Address (If different from the address above.)

Street Number and Name (Do not provide a PO Box in this space unless it is the ONLY address.)

City or Town

State

Postal Code

Province

Apt. Ste. Flr.

Number

ZIP Code
-

Country

Part 4. Information About the Child's Adoption
1.

Was the child adopted?

Yes (answer Item Numbers 2. and 3., as applicable).
2.

Full, Final and Complete Adoption Information
Place of Adoption

Date of Adoption (mm/dd/yyyy)

City or Town

3.

No (Go to Part 5.)

State

Country

If the child's adoptive parent did not use the orphan process (Form I-600) or Hague process (Form I-800), complete the
following items to determine if the child's adoption meets the 2-year legal custody and joint residence requirements for an
adopted child.
Date Legal Custody Began (mm/dd/yyyy)

Dates of Joint Residence
From
(mm/dd/yyyy)

Form N-600K Edition 09/17/19 E

To
(mm/dd/yyyy)

Page 3 of 10

Part 5. Information About the Child's U.S. Citizen Parent

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NOTE: Provide information about yourself if you are the U.S. citizen parent applying on behalf your child. If both parents are U.S.
citizens, provide information about the parent filing this form in this Part.
1.

Current Legal Name of U.S. Citizen Parent
Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

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2.

Date of Birth (mm/dd/yyyy)

4.

Current Physical Address

3.

Country of Birth

Street Number and Name (Do not provide a PO Box in this space unless it is your ONLY address.) Apt. Ste. Flr. Number

City or Town

Province

State

Postal Code

ZIP Code
-

Country

5.

Were the child's parents married to each other when the child was born (or adopted)?

6.

If the child's U.S. citizen parent is their father, and their father was not married to the child's other parent at the time of the
child's birth, list all the countries and U.S. states where the U.S. citizen father and/or the child have lived since the child's birth. If
you need extra space to complete this section, use the space provided in Part 13. Additional Information.

7.

The child's parent is a U.S. citizen by: (see the Instructions for information about evidence you must provide)
Birth in the United States

No

Birth outside the United States to U.S. Citizen Parent(s)

Acquisition after birth through U.S. Citizen Parent(s)
8.

Yes

Naturalization

If you indicated that the child's parent is a U.S. citizen through birth outside the United States to U.S. citizen parents, acquired
U.S. citizenship after birth through their U.S. citizen parent(s), or was naturalized, provide their A-Number.
Alien Registration Number (A-Number) (if any)
► A-

9.

Has the U.S. citizen parent ever lost U.S. citizenship or taken any action that would cause loss of U.S.
citizenship?

Yes

No

If you answered “Yes” to Item Number 9., provide a full explanation in the space provided in Part 13. Additional Information.
regardless of whether it has since been regained.

Part 6. Information About the Child's Other Parent
1.

Other Parent's Legal Name
Family Name (Last Name)

Given Name (First Name)

2.

Date of Birth (mm/dd/yyyy)

4.

Country of Citizenship or Nationality

Form N-600K Edition 09/17/19 E

3.

Middle Name

Country of Birth

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Part 6. Information About the Child's Other Parent (continued)
5.

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Other Parent's Physical Address (if different from U.S. Citizen parent's physical address in Part 5.)
Street Number and Name (Do not provide a PO Box in this space unless it is the other parent's
ONLY address.)

City or Town

Province

Apt. Ste.

Flr. Number

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State

Postal Code

ZIP Code
-

Country

Part 7. Information About the Child's U.S. Citizen Grandparent or U.S. Citizen Legal Guardian
If the child's U.S. citizen parent is deceased and you are the child's U.S. citizen grandparent or the child's U.S. citizen legal guardian,
provide information about yourself in Part 7. If you are the U.S. citizen parent, and you will rely on your U.S. citizen parent's
physical presence in Part 8., please provide your U.S. citizen parent's (the child's grandparent's) information in Part 7.
1.

Current Legal Name

Family Name (Last Name)

2.

Date of Birth (mm/dd/yyyy)

4.

Current Physical Address

Given Name (First Name)

3.

Middle Name (if applicable)

Country of Birth

Street Number and Name (Do not provide a PO Box in this space unless it is your ONLY address.) Apt. Ste. Flr. Number

City or Town

Province

5.

State

Postal Code

-

Country

The child's U.S. citizen grandparent or U.S. citizen legal guardian is a U.S. citizen by:
Birth in the United States

Acquisition after birth through U.S. Citizen Parent(s)

Birth outside the United States to U.S. Citizen Parent(s)
6.

ZIP Code

Naturalization

If the child's U.S. citizen grandparent or U.S. citizen legal guardian was born outside the United States to U.S. citizen parents,
acquired U.S. citizenship after birth through U.S. citizen, or was naturalized, provide your A-Number.
A-Number (if any)
► A-

7.

Has the child's U.S. citizen grandparent or U.S. citizen legal guardian ever lost U.S. citizenship or
taken any action that would cause loss of U.S. citizenship?

Yes

No

If you answered “Yes” to Item Number 7., provide a full explanation in the space provided in Part 13. Additional Information
regardless of whether it has since been regained.
If you are the child's legal guardian, provide the information requested in Item Numbers 8. - 10.
8.

Date Legal Guardianship Began
(mm/dd/yyyy)

Form N-600K Edition 09/17/19 E

9.

Name of Authority that Granted Legal Guardianship

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A-

Part 7. Information About the Child's U.S. Citizen Grandparent or U.S.
Citizen Legal Guardian (continued)
10. Address of Authority that Granted Legal Guardianship

Street Number and Name (Do not provide a PO Box in this space unless it is your ONLY address.) Apt. Ste. Flr. Number

City or Town

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State

Postal Code

Province

ZIP Code

-

Country

Part 8. U.S. Citizen Parent's or U.S. Citizen Grandparent's Physical Presence in the United States From
Their Birth Until Filing of Form N-600K
Provide the dates that the U.S. citizen parent or U.S. citizen grandparent was present in the United States. If the U.S. citizen parent
has not been physically present in the United States for five years, two years of which were after 14 years of age, provide information
about the physical presence of the U.S. citizen grandparent. If you need extra space to complete this section, use the space provided in
Part 13. Additional Information.
1.

Indicate whether this information relates to the U.S. citizen parent or to a U.S. citizen grandparent.
U.S. Citizen Parent

2.

U.S. Citizen Grandparent

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

Until
(mm/dd/yyyy)

Part 9. Preferred Location and Date for Interview
Provide information about the location where you prefer to have the interview and a date range when you are available for the
interview. The interview date range should be at least 90 days after filing Form N-600K and must occur before the child's 18th
birthday. USCIS will attempt to accommodate the requested preferences.
1.

USCIS Office Location

City or Town

2.

State

Preferred Date Range
From (mm/dd/yyyy)

Form N-600K Edition 09/17/19 E

To (mm/dd/yyyy)

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Part 10. Applicant's Contact Information, Certification, and Signature

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Applicant's Contact Information
Provide your daytime telephone number, mobile telephone number (if any), and email address (if any).
1.

Applicant's Daytime Telephone Number

3.

Applicant's Email Address (if any)

2.

Applicant's Mobile Telephone Number (if any)

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Applicant's Certification and Signature

I certify, under penalty of perjury, that I provided or authorized all of the responses and information contained in and submitted with
my application, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 11.,
understood, all of the responses and information contained in, and submitted with, my application, and that all of the responses and the
information are complete, true, and correct. Furthermore, I authorize the release of any information from any and all of my records
that USCIS may need to determine my eligibility for an immigration request and to other entities and persons where necessary for the
administration and enforcement of U.S. immigration law.
4.

Applicant's Signature

Date of Signature (mm/dd/yyyy)

Part 11. Interpreter's Contact Information, Certification, and Signature
Interpreter's Full Name
1.

Interpreter's Family Name (Last Name)

2.

Interpreter's Business or Organization Name

Interpreter's Given Name (First Name)

Interpreter's Contact Information
3.

Interpreter's Daytime Telephone Number

5.

Interpreter's Email Address (if any)

4.

Interpreter's Mobile Telephone Number (if any)

Interpreter's Certification and Signature
I certify, under penalty of perjury, that I am fluent in English and
, and I have
interpreted every question on the application and Instructions and interpreted the applicant's answers to the questions in that language,
and the applicant informed me that they understood every instruction, question, and answer on the application.
6.

Interpreter's Signature

Form N-600K Edition 09/17/19 E

Date of Signature (mm/dd/yyyy)

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Part 12. Contact Information, Declaration, and Signature of the Person
Preparing this Application, if Other Than the Applicant

A-

Preparer's Full Name
1.

Preparer's Family Name (Last Name)

2.

Preparer's Business or Organization Name

Preparer's Given Name (First Name)

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Preparer's Contact Information
3.

Preparer's Daytime Telephone Number

5.

Preparer's Email Address (if any)

4.

Preparer's Mobile Telephone Number (if any)

Preparer's Certification and Signature

I certify, under penalty of perjury, that I prepared this application for the applicant at their request and with express consent and that
all of the responses and information contained in and submitted with the application are complete, true, and correct and reflects only
information provided by the applicant. The applicant reviewed the responses and information and informed me that they understand
the responses and information in or submitted with the application.
6.

Preparer's Signature

Form N-600K Edition 09/17/19 E

Date of Signature (mm/dd/yyyy)

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Part 13. Additional Information

A-

If you need extra space to provide any additional information within this application, use the space below. If you need more space
than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper.
Type or print the child's name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item
Number to which the answer refers; and sign and date each sheet.
1.

Family Name (Last Name)

2.

A-Number (if any) ► A-

3.

Page Number

4.

Page Number

5.

Page Number

6.

Page Number

Given Name (First Name)

Middle Name

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Part Number

Item Number

Part Number

Item Number

Part Number

Item Number

Part Number

Item Number

Do not complete Part 14. This Part will be completed at the interview.
Form N-600K Edition 09/17/19 E

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Part 14. Affidavit (At the time of Interview)

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do swear or affirm, under
I, the parent/grandparent/legal guardian,
penalty of perjury under the laws of the United States, that I know and understand the contents of this application signed by me, and
the attached supplementary pages number
to
inclusive, that the same are true and correct to the best of my knowledge,
and that corrections number
to
were made by me or at my request.
Parent's, Grandparent's, or Legal Guardian's Signature

Date of Signature (mm/dd/yyyy)

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Subscribed and sworn or affirmed before me upon examination of the applicant (U.S. citizen parent, grandparent, or legal guardian) on
at

Date (mm/dd/yyyy)

Interviewing USCIS Officer's Name

.

(Location)

Interviewing USCIS Officer's Title

Date of Signature (mm/dd/yyyy)

Interviewing USCIS Officer's Signature

Do not complete Part 15., as it is for USCIS use only.

Part 15. USCIS Officer

Information About the Child's Admission into the United States and Current Immigration Status
1.

Port-of-Entry

Date of Entry (mm/dd/yyyy)

Exact Name Used at Time of Entry
Family Name (Last Name)

2.

Given Name (First Name)

Middle Name

Current Immigration Status

USCIS Officer's Report
On the basis of the documents, records and the testimony of person 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:
3.

True and correct;

4.

The applicant is eligible for U.S. citizenship through (Select the box next to the appropriate section of law.)
INA Section 322(a)(2)(A) of the (Parent physical presence); or
INA Section 322(a)(2)(B) of the (Grandparent physical presence).

5.

The applicant is a child of a member of the Armed Forces who is authorized pursuant to the member's
official orders to accompany and reside abroad with the member.

Form N-600K Edition 09/17/19 E

Yes

No

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