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Form N-400, Application for Naturalization
ICR 202609-1615-007 · OMB 1615-0052 · Object 173152500.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Form N-400, Application for Naturalization |
| Subject | N-400 Application for Naturalization |
| Author | USCIS |
| Last Modified By | Designer 6.5 |
| File Modified | 2026-01-30 |
| File Created | 2026-01-30 |
| Conversion State | complete |
Extracted Text
Application for Naturalization USCIS Form N-400 Department of Homeland Security U.S. Citizenship and Immigration Services Date Stamp For USCIS Use Only Receipt OMB No. 1615-0052 Expires 03/31/2027 Action Block DRAFT NOT FOR PRODUCTION 01/30/2026 Remarks ► START HERE - Type or print in black ink. If you do not answer all of the questions, it may take longer for U.S. Citizenship and Immigration Services (USCIS) to process your Form N-400. If your mother or father (including legal adoptive mother or father) is a U.S. citizen by birth, or was naturalized before you reached your 18th birthday, you may not need to file Form N-400 as you may already be a U.S. citizen. Before you file this application, please visit the USCIS website at www.uscis.gov/N-600 for Form N-600, Application for Certificate of Citizenship. Part 1. Information About Your Eligibility (Select only one box to identify Enter Your 9 Digit A-Number: ► Athe basis of your eligibility or your Form N-400 may be delayed or rejected.) Reason for Filing (Please see Instructions for eligibility requirements under each provision.): 1.a. General Provision. See Instructions: List of General Eligibility Requirements 1.b. Spouse of U.S. Citizen. See Instructions: Eligibility Based on Marriage to a U.S. Citizen 1.c. VAWA. See Instructions: Eligibility for the Spouse, Former Spouse, or Child of a U.S. Citizen under the Violence Against Women Act (VAWA) 1.d. Spouse of U.S. Citizen in Qualified Employment Outside the United States. See Instructions: Eligibility for the Spouse of a U.S. Citizen Working for a Qualified Employer Outside the United States If your residential address is outside the United States and you are filing under Immigration and Nationality Act (INA) section 319(b), select the USCIS field office where you would like to have your naturalization interview. You can find a USCIS field office at www.uscis.gov/field-offices. 1.e. Military Service During Period of Hostilities. See Instructions: Eligibility and Evidence for Current and Former Members of the U.S. Armed Forces 1.f. At Least One Year of Honorable Military Service at Any Time. See Instructions: Eligibility and Evidence for Current and Former Members of the U.S. Armed Forces 1.g. Other Reason for Filing Not Listed Above Part 2. Information About You (Person applying for naturalization) 1. Your Current Legal Name (do not provide a nickname) Family Name (Last Name) 2. Given Name (First Name) Middle Name (if applicable) Other Names You Have Used Since Birth (if any) (see the Instructions for this Item Number for more information about which names to include) Family Name (Last Name) Form N-400 Edition 01/30/26 Given Name (First Name) Middle Name (if applicable) Page 1 of 26 Part 2. Information About You (Person applying for naturalization) (continued) AName Change (Optional) Read the Instructions for this Item Number before you decide whether you would like to legally change your name. 3. Yes Would you like to legally change your name? No (skip to Item Number 4.) If you answered “Yes,” type or print the new name you would like to use: DRAFT NOT FOR PRODUCTION 01/30/2026 Family Name (Last Name) 4. USCIS Online Account Number (if any) ► 6. Given Name (First Name) Middle Name (if applicable) Sex 5. Male Female If you are a lawful permanent resident, provide the date you became a lawful permanent resident (mm/dd/yyyy). Place of Birth 7.a. City/Town/Village of Birth 7.b. State or Province of Birth 7.c. Country of Birth 8. Country/Countries of Citizenship or Nationality If you are a citizen or national of more than one country, list additional countries of nationality in the space provided in Part 16. Additional Information. 9. All Prior Countries of Citizenship or Nationality (if applicable) Current Passport, Travel Document, or National Identification (if any) and Last Passport, Travel Document, or National Identification Document (ID) (if any) Information. Provide information as follows regarding each of your two most recently issued passports, travel documents, and/or National ID cards. 10.a. Current Passport Issue Date (mm/d/yyyy) 10.b. Current Travel Document Issue Date (mm/dd/yyyy) 10.c. Current National ID Issue Date (mm/dd/yyyy) 10.d. Last Passport Issue Date (mm/dd/yyyy) Form N-400 Edition 01/30/26 Country of Issuance Expiration Date (mm/dd/yyyy) Country of Issuance Expiration Date (mm/dd/yyyy) Country of Issuance Expiration Date (mm/dd/yyyy) Country of Issuance Expiration Date (mm/dd/yyyy) Page 2 of 26 Part 2. Information About You (Person applying for naturalization) (continued) A10.e. Last Travel Document Issue Date (mm/dd/yyyy) Expiration Date (mm/dd/yyyy) DRAFT NOT FOR PRODUCTION 01/30/2026 10.f. Last National ID Issue Date (mm/dd/yyyy) 11. Country of Issuance Country of Issuance Expiration Date (mm/dd/yyyy) Was your mother or father (including adoptive mother or father) a U.S. citizen before your 18th birthday? Yes No If you answered “Yes,” you may already be a U.S. citizen. If you are a U.S. citizen, you should not complete Form N-400. 12.a. Have you had or used a social media account in the past five (5) years? Yes, I have had or used a social media account in the past five (5) years. No, I have not had or used a social media account in the past five (5) years. 12.b. If you answered “Yes,” provide the total number of social media accounts: 12.c. Enter information associated with your online social media presence over the past five (5) years, if any. If you have had or used an account with a social media provider or platform that is listed in the Instructions, enter that information in the following table. If you need extra space to complete this section, use the space provided in Part 16. Additional Information. Provider/Platform Listed in Instructions Identifier/Username/Handle/Alias Personal/Business/Organization If you have had or used an account with a social media provider or platform that is not listed in the Instructions, enter that information in the following table. If you need extra space to complete this section, use the space provided in Part 16. Additional Information. Provider/Platform Not Listed in Instructions 13. Identifier/Username/Handle/Alias Personal/Business/Organization Do you have a physical or developmental disability or mental impairment that prevents you from demonstrating your knowledge and understanding of the English language or civics requirements for naturalization? Yes No If you answered “Yes,” submit a completed Form N-648, Medical Certification for Disability Exceptions, when you file your Form N-400. See the Naturalization Testing and Exceptions section of the Instructions for additional information about exceptions from the English language test, including exceptions based on age and years as a lawful permanent resident. Form N-400 Edition 01/30/26 Page 3 of 26 Part 2. Information About You (Person applying for naturalization) (continued) A14. Date of Birth (mm/dd/yyyy) In addition to your actual date of birth, include any other dates of birth you have ever used, including dates used in connection with any legal names or non-legal names, in the space provided in Part 16. Additional Information. DRAFT NOT FOR PRODUCTION 01/30/2026 Social Security Update 15.a. Do you want the Social Security Administration (SSA) to issue you an original or replacement Social Security card and update your immigration status with the SSA if and when you are naturalized? Yes (Complete Item Numbers 15.b. - 15.c.) No (skip Item Numbers 15.b. and 15.c.) 15.b. Provide your U.S. Social Security Number (SSN) (if any). ► 15.c. Consent for Disclosure: I authorize disclosure of information from this application and USCIS systems to the SSA as required for the purpose of assigning me an SSN, issuing me an original or replacement Social Security card, and updating my immigration status with the SSA. Yes No NOTE: If you answered “Yes” to Item Number 15.a., you must also answer “Yes” to Item Number 15.c., Consent for Disclosure, to receive a card. 16. Telephone Number(s) Used in the Past Five (5) Years (include country code) Telephone Numbers (include country code) 17. Mobile or Landline Personal or Business Date Use Started Date Use Ended (mm/dd/yyyy) (mm/dd/yyyy) Personal or Business Date Use Started Date Use Ended (mm/dd/yyyy) (mm/dd/yyyy) Email Address(es) Used in the Past Ten (10) Years (if any) Email Address(es) Point of Contact Information 18. Point of Contact Name (Do not provide a nickname) Family Name (Last Name) 19. Point of Contact Telephone Number Form N-400 Edition 01/30/26 Given Name (First Name) 20. Middle Name (if applicable) Point of Contact Email Address Page 4 of 26 Part 3. Biographic Information A- 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 2. Not Hispanic or Latino DRAFT NOT FOR PRODUCTION 01/30/2026 Race (Select all applicable boxes) American Indian Asian or Alaska Native 3. Height Feet 5. Eye color (Select only one box) Black 6. Black or African American Inches Blue Brown Hair color (Select only one box) Bald Black Blond (No hair) 4. Native Hawaiian or Other Pacific Islander White Weight Pounds Gray Green Hazel Maroon Pink Unknown/Other Brown Gray Red Sandy White Unknown/Other Part 4. Information About Your Residence 1. Physical Addresses List every location where you have lived during the last 5 years. If you need extra space, use the space provided in Part 16. Additional Information. Current Physical Address (USCIS ZIP Code Lookup) In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code Dates of Residence: From (mm/dd/yyyy) ZIP Code Country Dates of Residence: To (mm/dd/yyyy) PRESENT Previous Physical Address 1 Street Number and Name Apt. Ste. Flr. Number City or Town State Province Dates of Residence: From (mm/dd/yyyy) Form N-400 Edition 01/30/26 Postal Code ZIP Code Country Dates of Residence: To (mm/dd/yyyy) Page 5 of 26 Part 4. Information About Your Residence (continued) A- Previous Physical Address 2 Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code DRAFT NOT FOR PRODUCTION 01/30/2026 Province Postal Code Dates of Residence: From (mm/dd/yyyy) Country Dates of Residence: To (mm/dd/yyyy) Previous Physical Address 3 Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code Dates of Residence: From (mm/dd/yyyy) 2. Country Dates of Residence: To (mm/dd/yyyy) Is your current physical address also your current mailing address? Yes (If you answered “Yes,” skip to Part 5.) 3. ZIP Code No Current Mailing Address (Safe Mailing Address, if applicable) In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country Part 5. Information About Your Marital History 1. What is your current marital status? Single, Never Married Married Divorced Widowed Separated Marriage Annulled If you are single and have never married, go to Part 6. Information About Your Children. 2. If you are currently married, is your spouse a current member of the U.S. armed forces? 3. How many times have you been married? (See the Specific Instructions by Item Number section of the Instructions for more information about which marriages to include.) Yes No Provide current marriage certificate and any divorce decree, annulment decree, or death certificate showing that your prior marriages were terminated (if applicable). Form N-400 Edition 01/30/26 Page 6 of 26 Part 5. Information About Your Marital History (continued) A- Your Current Marriage If you are currently married, including if you are legally separated, provide the following information about your current spouse. 4.a. Current Spouse's Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) DRAFT NOT FOR PRODUCTION 01/30/2026 4.c. Current Spouse's U.S. Social Security 4.b. Current Spouse's Date of Birth (mm/dd/yyyy) Number (if any) ► 4.d. Current Spouse's Place of Birth City/Town/Village of Birth State or Province of Birth Country of Birth 4.e. Date You Entered into Marriage with Current Spouse (mm/dd/yyyy) Yes 4.f. Is your current spouse's present physical address the same as your physical address? 5. If you answered “No” to Item Number 4.f., provide your Current Spouse's current physical address. If your Current Spouse's current whereabouts are unknown, select the box below and skip to Item Number 6.a. No Current Spouse current whereabouts are unknown. In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country Complete the item below only if your current spouse is a U.S. citizen. If your current spouse is not a U.S. citizen, skip to Item Number 7. 6.a. When did your current spouse become a U.S. citizen? By Birth in the United States - Go to Item Number 8. 6.b. Date Your Current Spouse Became a U.S. Citizen (mm/dd/yyyy) 8. 7. Other - Complete Item Number 6.b. Current Spouse's A-Number (if any) ► A- Current Spouse's Telephone Number(s) Used in the Past Five (5) Years (include country code) (if any) Telephone Numbers Date Use Started Mobile or Landline (include country code) (mm/dd/yyyy) Form N-400 Edition 01/30/26 Date Use Ended (mm/dd/yyyy) Page 7 of 26 Part 5. Information About Your Marital History (continued) 9. A- How many times has your current spouse been married? (See the Specific Instructions by Item Number section of the Instructions for more information about which marriages to include.) Provide divorce decrees, annulment decrees, or death certificates showing that all of your spouse's prior marriages were terminated (if applicable). Only answer Item Number 10. if you are filing under Part 1., Item Number 1.d., Spouse of U.S. Citizen in Qualified Employment Outside the United States. 10. DRAFT NOT FOR PRODUCTION 01/30/2026 Current Spouse's Current Employer or Company Part 6. Information About Your Children You must indicate ALL children, including: children who are alive, missing, or deceased; children born in the United States or in other countries; children under 18 years of age or older; children living with you or elsewhere; current stepchildren; legally adopted children and children born when you were not married. (See the Specific Instructions by Item Number section of the Instructions for more information about which children to include.) 1. Indicate your total number of children. 2. Provide the following information about all your children, including children over 18 years of age. If you have more than two children, use the space provided in Part 16. Additional Information. Child 1 3. 4. Current Legal Name of Child 1 Family Name (Last Name) Given Name (First Name) Child 1's Date of Birth 5. Middle Name (if applicable) Child 1's U.S. Social Security Number (if any)► (mm/dd/yyyy) Child 1's Place of Birth 6.a. City/Town/Village of Birth 6.b. State or Province of Birth 6.c. Country of Birth 7. Child 1's Telephone Number(s) Used in the Past Five (5) Years (include country code) (if any) Telephone Numbers (include country code) Form N-400 Edition 01/30/26 Mobile or Landline Date Use Started (mm/dd/yyyy) Date Use Ended (mm/dd/yyyy) Page 8 of 26 Part 6. Information About Your Children (continued) 8. A- Current Address List your Child 1's current physical address. If your Child 1 is deceased or if current whereabouts are unknown, select the relevant box below and skip to Child 2. Child 1 is deceased. DRAFT NOT FOR PRODUCTION 01/30/2026 Child 1 current whereabouts are unknown. In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Child 2 9. Postal Code Country Current Legal Name of Child 2 Family Name (Last Name) 10. ZIP Code Child 2's Date of Birth Given Name (First Name) 11. Middle Name (if applicable) Child 2's U.S. Social Security Number (if any)► (mm/dd/yyyy) Child 2's Place of Birth 12.a. City/Town/Village of Birth 12.b. State or Province of Birth 12.c. Country of Birth 13. Child 2's Telephone Number(s) Used in the Past Five (5) Years (include country code) (if any) Telephone Numbers (include country code) Form N-400 Edition 01/30/26 Mobile or Landline Date Use Started (mm/dd/yyyy) Date Use Ended (mm/dd/yyyy) Page 9 of 26 Part 6. Information About Your Children (continued) 14. A- Current Address List your Child 2's current physical address. If your Child 2 is deceased or if current whereabouts are unknown, select the relevant box below and skip to Part 7. Information About Your Parents. Child 2 is deceased. DRAFT NOT FOR PRODUCTION 01/30/2026 Child 2 current whereabouts are unknown. In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country Part 7. Information About Your Parents Provide the information about your parents, even if deceased. Parent 1 1. Current Legal Name of Parent 1 Family Name (Last Name) 2. Parent 1's Date of Birth (mm/dd/yyyy) Given Name (First Name) 3. Middle Name (if applicable) Parent 1's U.S. Social Security Number (if any)► Parent 1`s Place of Birth 4.a. City/Town/Village of Birth 4.b. State or Province of Birth 4.c. Country of Birth 5. Parent 1's Telephone Number(s) Used in the Past Five (5) Years (include country code) (if any) Telephone Numbers (include country code) Form N-400 Edition 01/30/26 Mobile or Landline Date Use Started (mm/dd/yyyy) Date Use Ended (mm/dd/yyyy) Page 10 of 26 Part 7. Information About Your Parents (continued) 6. A- Current Address List your Parent 1's current physical address. If your Parent 1 is deceased or if current whereabouts are unknown, select the relevant box below and skip to Parent 2. Parent 1 is deceased. DRAFT NOT FOR PRODUCTION 01/30/2026 Parent 1 current whereabouts are unknown. In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Parent 2 7. Postal Code Country Current Legal Name of Parent 2 Family Name (Last Name) 8. ZIP Code Parent 2's Date of Birth (mm/dd/yyyy) Given Name (First Name) 9. Middle Name (if applicable) Parent 2's U.S. Social Security Number (if any)► Parent 2`s Place of Birth 10.a. City/Town/Village of Birth 10.b. State or Province of Birth 10.c. Country of Birth 11. Parent 2's Telephone Number(s) Used in the Past Five (5) Years (include country code) (if any) Telephone Numbers (include country code) Form N-400 Edition 01/30/26 Mobile or Landline Date Use Started (mm/dd/yyyy) Date Use Ended (mm/dd/yyyy) Page 11 of 26 Part 7. Information About Your Parents (continued) 12. A- Current Address List your Parent 2's current physical address. If your Parent 2 is deceased or if current whereabouts are unknown, select the relevant box below and skip to Part 8. Information About Your Siblings. Parent 2 is deceased. DRAFT NOT FOR PRODUCTION 01/30/2026 Parent 2 current whereabouts are unknown. In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country Part 8. Information About Your Siblings Provide information about all of your siblings (including half-siblings and step-siblings), even if deceased. If you do not have any siblings, please skip to Part 9. If you have more than two siblings, use the space provided in Part 16. Additional Information. Sibling 1 1. Current Legal Name of Sibling 1 Family Name (Last Name) 2. Sibling 1's Date of Birth (mm/dd/yyyy) Given Name (First Name) 3. Middle Name (if applicable) Sibling 1's U.S. Social Security Number (if any)► Sibling 1`s Place of Birth 4.a. City/Town/Village of Birth 4.b. State or Province of Birth 4.c. Country of Birth 5. Sibling 1's Telephone Number(s) Used in the Past Five (5) Years (include country code) (if any) Telephone Numbers (include country code) Form N-400 Edition 01/30/26 Mobile or Landline Date Use Started (mm/dd/yyyy) Date Use Ended (mm/dd/yyyy) Page 12 of 26 Part 8. Information About Your Siblings (continued) 6. A- Current Address List your Sibling 1's current physical address. If your Sibling 1 is deceased or if current whereabouts are unknown, select the relevant box below and skip to Sibling 2. Sibling 1 is deceased. DRAFT NOT FOR PRODUCTION 01/30/2026 Sibling 1 current whereabouts are unknown. In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Sibling 2 7. Postal Code Country Current Legal Name of Sibling 2 Family Name (Last Name) 8. ZIP Code Sibling 2's Date of Birth (mm/dd/yyyy) Given Name (First Name) 9. Middle Name (if applicable) Sibling 2's U.S. Social Security Number (if any)► Sibling 2`s Place of Birth 10.a. City/Town/Village of Birth 10.b. State or Province of Birth 10.c. Country of Birth 11. Sibling 2's Telephone Number(s) Used in the Past Five (5) Years (include country code) (if any) Telephone Numbers (include country code) Form N-400 Edition 01/30/26 Mobile or Landline Date Use Started (mm/dd/yyyy) Date Use Ended (mm/dd/yyyy) Page 13 of 26 Part 8. Information About Your Siblings (continued) 12. A- Current Address List your Sibling 2's current physical address. If your Sibling 2 is deceased or if current whereabouts are unknown, select the relevant box below and skip to Part 9. Information About Your Employment and Schools You Attended. Sibling 2 is deceased. DRAFT NOT FOR PRODUCTION 01/30/2026 Sibling 2 current whereabouts are unknown. In Care Of Name (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country Part 9. Information About Your Employment and Schools You Attended List where you have worked or attended school full time or part time during the last 5 years if you are filing based on the general provision under Part 1., Item Number 1.a. If you are filing based on other naturalization eligibility options, see Part 9. in the Specific Instructions by Item Number section of the Instructions for the applicable period of time for which you must enter this information. Provide information for the complete time period for all employment, including foreign government employment such as military, police, and intelligence services. Begin by providing information about your most recent or current employment, studies, or unemployment. Provide the locations and dates where you worked, were self-employed, were unemployed, or have studied. If you worked for yourself and not for a specific employer, type or print “self-employed” for the employer name. If you were unemployed, type or print “unemployed.” If you are retired, type or print “retired.” If you need extra space to complete Part 9., use the space provided in Part 16. Additional Information. 1. School Information From the Past Five (5) Years (if any) School 1 Name City or Town State/Province ZIP Code/Postal Code Date From (mm/dd/yyyy) Date To (mm/dd/yyyy) Country Field of Study Form N-400 Edition 01/30/26 Page 14 of 26 Part 9. Information About Your Employment and Schools You Attended (continued) A- School 2 Name DRAFT NOT FOR PRODUCTION 01/30/2026 City or Town State/Province ZIP Code/Postal Code Date From (mm/dd/yyyy) Date To (mm/dd/yyyy) Country Field of Study School 3 Name City or Town State/Province ZIP Code/Postal Code Date From (mm/dd/yyyy) Date To (mm/dd/yyyy) Country Field of Study 2. Employer/Business Information From the Past Five (5) Years (if any) Employer 1 Employer/Business Name Employer/Business Mailing Address (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Form N-400 Edition 01/30/26 Postal Code ZIP Code Country Page 15 of 26 Part 9. Information About Your Employment and Schools You Attended (continued) A- Employer/Business Physical Address (if different from Mailing Address) (if any) Street Number and Name Apt. Ste. Flr. Number DRAFT NOT FOR PRODUCTION 01/30/2026 City or Town State Postal Code Province ZIP Code Country U.S. Business Federal Employer Identification Number (FEIN) (or other country equivalent) (if any) ► Occupation Date From (mm/dd/yyyy) Date To (mm/dd/yyyy) Employer 2 Employer/Business Name Employer/Business Mailing Address (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country Employer/Business Physical Address (if different from Mailing Address) (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country U.S. Business FEIN (or other country equivalent) (if any) ► Occupation Date From (mm/dd/yyyy) Form N-400 Edition 01/30/26 Date To (mm/dd/yyyy) Page 16 of 26 Part 9. Information About Your Employment and Schools You Attended (continued) A- Employer 3 Employer/Business Name DRAFT NOT FOR PRODUCTION 01/30/2026 Employer/Business Mailing Address (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country Employer/Business Physical Address (if different from Mailing Address) (if any) Street Number and Name Apt. Ste. Flr. Number City or Town State Province Postal Code ZIP Code Country U.S. Business FEIN (or other country equivalent) (if any) ► Occupation Date From (mm/dd/yyyy) Form N-400 Edition 01/30/26 Date To (mm/dd/yyyy) Page 17 of 26 Part 10. Time Outside the United States 1. A- List below all the trips that you have taken outside the United States during the last 5 years if you are filing based on the general provision under Part 1., Item Number 1.a. If you are filing based on other naturalization eligibility options, see Part 10. in the Specific Instructions by Item Number section of the Instructions for the applicable period of time for which you must enter this information. Start with your most recent trip and work backwards. Do not include day trips (where the entire trip was completed within 24 hours) in the table. If you have taken any trips outside the United States that lasted more than 6 months, see the Required Evidence - Continuous Residence section of the Instructions for evidence you should provide. If you need extra space to complete this section, use the space provided in Part 16. Additional Information. DRAFT NOT FOR PRODUCTION 01/30/2026 Date You Left the United States (mm/dd/yyyy) Date You Returned to the United States (mm/dd/yyyy) Countries to Which You Traveled Part 11. Additional Information About You When a question includes the word “EVER,” you must provide information about any of your actions or conduct that occurred anywhere in the world at any time, unless the question specifies otherwise. If you answer “Yes” to any of the questions in Part 11., Item Numbers 1. - 14., provide explanations and any additional information in the space provided in Part 16. Additional Information. 1. Have you EVER claimed to be a U.S. citizen (in writing or any other way)? Yes No 2. Have you EVER registered to vote or voted in any Federal, state, or local election in the United States? If you lawfully voted only in a local election where aliens are eligible to vote, you may answer “No.” Yes No 3. Do you currently owe any overdue Federal, state, or local taxes in the United States? Yes No 4. Since you became a lawful permanent resident, have you called yourself a “nonresident alien” on a Federal, state, or local tax return or decided not to file a tax return because you considered yourself to be a nonresident? Yes No 5.a. Been a member of, involved in, or in any way associated with any Communist or totalitarian party anywhere in the world? Yes No 5.b. Advocated (supported and promoted) any of the following, or been a member of, involved in, or in any way associated with any group anywhere in the world that advocated any of the following: Yes No Have you EVER: Opposition to all organized government; World communism; The establishment in the United States of a totalitarian dictatorship; The overthrow by force or violence or other unconstitutional means of the Government of the United States or all forms of law; The unlawful assaulting or killing of any officer or officers of the Government of the United States or of any other organized government because of their official character; The unlawful damage, injury, or destruction of property; or Sabotage? Form N-400 Edition 01/30/26 Page 18 of 26 Part 11. Additional Information About You (continued) A- Have you EVER been a member of, involved in, or in any way associated with, or have you EVER provided money, a thing of value, services or labor, or any other assistance or support to a group that: 6.a. Used a weapon or explosive with intent to harm another person or cause damage to property? Yes No 6.b. Engaged (participated) in kidnapping, assassination, or hijacking or sabotage of an airplane, ship, vehicle, or other mode of transportation? Yes No 6.c. Threatened, attempted (tried), conspired (planned with others), prepared, planned, advocated for, or incited (encouraged) others to commit any of the acts listed in Item Numbers 6.a. or 6.b.? Yes DRAFT NOT FOR PRODUCTION 01/30/2026 No Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following: 7.a. Torture? Yes No 7.b. Genocide? Yes No 7.c. Killing or trying to kill any person? Yes No 7.d. Intentionally and severely injuring or trying to injure any person? Yes No 7.e. Any kind of sexual contact or activity with any person who did not consent (did not agree) or was unable to consent (could not agree), or was being forced or threatened by you or by someone else? Yes No Yes No 7.g. Causing harm or suffering to any person because of his or her race, religion, national origin, membership in a particular social group, or political opinion? Yes No 8.a. Have you EVER served in, been a member of, assisted (helped), or participated in any military or police unit? Yes No 8.b. Have you EVER served in, been a member of, assisted (helped), or participated in any armed group (a group that carries weapons), for example: paramilitary unit (a group of people who act like a military group but are not part of the official military), self-defense unit, vigilante unit, rebel group, or guerrilla group? Yes No Have you EVER worked, volunteered, or otherwise served in a place where people were detained (forced to stay), for example, a prison, jail, prison camp (a camp where prisoners of war or political prisoners are kept), detention facility, or labor camp, or have you EVER directed or participated in any other activity that involved detaining people? Yes No 10.a. Were you EVER a part of any group, or did you EVER help any group, unit, or organization that used a weapon against any person, or threatened to do so? Yes No 10.b. If you answered “Yes” to Item Number 10.a., when you were part of this group, or when you helped this group, did you ever use a weapon against another person? Yes No 10.c. If you answered “Yes” to Item Number 10.a., when you were part of this group, or when you helped this group, did you ever threaten another person that you would use a weapon against that person? Yes No 11. Have you EVER sold, provided, or transported weapons, or assisted any person in selling, providing, or transporting weapons, which you knew or believed would be used against another person? Yes No 12. Have you EVER received any weapons training, paramilitary training, or other military-type training? Yes No 13. Have you EVER recruited (asked), enlisted (signed up), conscripted (required to join), or used any person under 15 years of age to serve in or help an armed group, or attempted or worked with others to do so? Yes No 14. Have you EVER used any person under 15 years of age to take part in hostilities or attempted or worked with others to do so? This could include participating in combat or providing services related to combat (such as serving as a messenger or transporting supplies). Yes No 7.f. Not letting someone practice his or her religion? If you answered “Yes” to Item Number 8.a. or Item Number 8.b., include the name of the country, the name of the military unit or armed group, your rank or position, and your dates of involvement in your explanation in Part 16. Additional Information. 9. Form N-400 Edition 01/30/26 Page 19 of 26 Part 11. Additional Information About You (continued) A- If you answer “Yes” to any part of Item Number 15. below, complete the table below with each crime or offense even if your records have been sealed, expunged, or otherwise cleared. You must disclose this information even if someone, including a judge, law enforcement officer, or attorney, told you that it is no longer on your record, or told you that you do not have to disclose the information. If you need extra space, use the space provided in Part 16. Additional Information. Submit evidence to support your answers with your Form N-400. DRAFT NOT FOR PRODUCTION 01/30/2026 Include all the crimes and offenses in the United States or anywhere in the world (including domestic violence, driving under the influence of drugs or alcohol, and crimes and offenses while you were under 18 years of age) which you EVER: Committed, agreed to commit, or asked someone else to commit; Were arrested, cited, detained, or confined by any law enforcement officer, military official (in the U.S. or elsewhere), or immigration official; Were charged with committing, helping commit, or trying to commit; Pled guilty to; Were convicted of; Were placed in alternative sentencing or a rehabilitative program for (for example, diversion, deferred prosecution, withheld adjudication, or deferred adjudication); or Received a suspended sentence, clemency, amnesty, or pardon for, or were placed on probation or paroled for. 15.a. Have you EVER committed, agreed to commit, asked someone else to commit, helped commit, or tried to commit a crime or offense for which you were NOT arrested? Yes No 15.b. Have you EVER been arrested, cited, detained or confined by any law enforcement officer, military official (in the U.S. or elsewhere), or immigration official for any reason, or been charged with a crime or offense? Yes No What was the crime or offense? (If convicted, Date of your provide crime of conviction. Date of the conviction or If not convicted, provide Crime or Offense guilty plea crime or offense listed in (mm/dd/yyyy) (if applicable) arrest, citation, charging (mm/dd/yyyy) document, or crime committed.) 16. What was the result or What was disposition of the your sentence Place of Crime or arrest, citation, or (if applicable)? Offense (City or charge? (no charges (For example, Town, State, filed, convicted, charges 90 days in jail, Country) dismissed, detention, 90 days on jail, probation, etc.) probation) If you received a suspended sentence, were placed on probation, or were paroled, have you completed your suspended sentence, probation, or parole? Yes No If you answer “Yes” to any of the questions in Item Numbers 17.a. - 19., provide an explanation in the space provided in Part 16. Additional Information. Submit evidence to support your answers. Have you EVER: 17.a. Engaged in prostitution, attempted to procure or import prostitutes or persons for the purpose of prostitution, or received any proceeds or money from prostitution? Form N-400 Edition 01/30/26 Yes No Page 20 of 26 Part 11. Additional Information About You (continued) A- 17.b. Manufactured, cultivated, produced, distributed, dispensed, sold, or smuggled (trafficked) any controlled substances, illegal drugs, narcotics, or drug paraphernalia in violation of any law or regulation of a U.S. state, the United States, or a foreign country? Yes No 17.c. Been married to more than one person at the same time? Yes No DRAFT NOT FOR PRODUCTION 01/30/2026 17.d. Married someone in order to obtain an immigration benefit? Yes No 17.e. Helped anyone to enter, or try to enter, the United States illegally? Yes No 17.f. Gambled illegally or received income from illegal gambling? Yes No 17.g. Failed to support your dependents (pay child support) or to pay alimony (court-ordered financial support after divorce or separation)? Yes No 17.h. Made any misrepresentation to obtain any public benefit in the United States? Yes No 18. Have you EVER given any U.S. Government officials any information or documentation that was false, fraudulent, or misleading? Yes No 19. Have you EVER lied to any U.S. Government officials to gain entry or admission into the United States or to gain immigration benefits while in the United States? Yes No If you answer “Yes” to Item Numbers 20. or 21. below, provide an explanation in the space provided in Part 16. Additional Information and see the Specific Instructions by Item Number, Part 11. Additional Information About You of the Instructions for more information. 20. Have you EVER been placed in removal, rescission, or deportation proceedings? Yes No 21. Have you EVER been removed or deported from the United States? Yes No Federal Law requires nearly all people born as male who are either U.S. citizens or immigrants, 18 through 25 years of age, to register with Selective Service. See www.sss.gov. 22.a. Are you a male who lived in the United States at any time between your 18th and 26th birthdays? (Do not select “Yes” if you were a lawful nonimmigrant for all of that time period.) Yes No 22.b. If you answered “Yes,” to Item Number 22.a., did you register for the Selective Service? Yes No 22.c. If you answered “Yes,” to Item Number 22.b., provide information about your registration. Date Registered (mm/dd/yyyy) Selective Service Number If you answered “No,” to Item Number 22.b. see the Specific Instructions by Item Number, Part 11. Additional Information About You of the Instructions for more information. If you answer “Yes” to Item Numbers 23. - 24., provide an explanation in the space provided in Part 16. Additional Information. 23. Have you EVER left the United States to avoid being drafted in the U.S. armed forces? Yes No 24. Have you EVER applied for any kind of exemption from military service in the U.S. armed forces? Yes No 25. Have you EVER served in the U.S. armed forces? Yes No 26.a. Are you currently a member of the U.S. armed forces? Yes No 26.b. If you answered “Yes” to Item Number 26.a., are you scheduled to deploy outside the United States, including to a vessel, within the next 3 months? (Call the Military Help Line at 877-247-4645 if you transfer to a new duty station after you file your Form N-400, including if you are deployed outside the United States or to a vessel.) Yes No 26.c. If you answered “Yes,” to Item Number 26.a., are you currently stationed outside the United States? Yes No 26.d. If you answered “No” to Item Number 26.a., are you a former U.S. military service member who is currently residing outside of the U.S.? Yes No If you answered “No” to Item Number 25., go to Item Number 30.a. Form N-400 Edition 01/30/26 Page 21 of 26 Part 11. Additional Information About You (continued) A- If you answer “Yes” to Item Numbers 27. - 29., provide an explanation in the space provided in Part 16. Additional Information. 27. Have you EVER been court-martialed or have you received a discharge characterized as other than honorable, bad conduct, or dishonorable, while in the U.S. armed forces? Yes No 28. Have you EVER been discharged from training or service in the U.S. armed forces because you were an alien? Yes No 29. Have you EVER deserted from the U.S. armed forces? Yes DRAFT NOT FOR PRODUCTION 01/30/2026 No For Item Numbers 30.a. - 37. see Specific Instructions by Item Number, Part 11. Additional Information About You. If you answer “Yes” to Item Number 30.a., provide an explanation in the space provided in Part 16. Additional Information. 30.a. Do you now have, or did you EVER have, a hereditary title or an order of nobility in any foreign country? Yes No (skip to Item Number 31.) 30.b. If you answered “Yes,” to Item Number 30.a., are you willing to give up any inherited titles or orders of nobility, Yes No (list titles), that you have in a foreign country at your naturalization ceremony? If you answer “'No” to any question except Item Number 33., see the Oath of Allegiance section of the Instructions for more information. 31. Do you support the Constitution and form of Government of the United States? Yes No 32. Do you understand the full Oath of Allegiance to the United States (see Part 18. Oath of Allegiance)? Yes No 33. Are you unable to take the Oath of Allegiance because of a physical or developmental disability or mental impairment? If you answer “Yes,” skip Item Numbers 34. - 37. and see the Legal Guardian, Surrogate, or Designated Representative section in the Instructions. Yes No 34. Are you willing to take the full Oath of Allegiance to the United States? Yes No 35. If the law requires it, are you willing to bear arms (carry weapons) on behalf of the United States? Yes No 36. If the law requires it, are you willing to perform noncombatant services (do something that does not include fighting in a war) in the U.S. armed forces? Yes No 37. If the law requires it, are you willing to perform work of national importance under civilian direction (do non-military work that the U.S. Government says is important to the country)? Yes No Part 12. Request for a Fee Reduction For information about fees, fee waivers, and reduced fees, see Form G-1055, Fee Schedule, at www.uscis.gov/g-1055. To apply for a reduced fee, complete Item Numbers 1. - 5.b. If you are not eligible for a reduced fee, complete Item Number 1. and proceed to Part 13. 1. My household income is less than or equal to 400% of the Federal Poverty Guidelines (see Instructions for required documentation). Yes (complete Item Numbers 2. - 5.b.) No (skip to Part 13.) 2. Total household income: 3. My household size is: 4. Total number of household members earning income including yourself: 5.a. I am the head of household. Yes No 5.b. Name of head of household (if you selected “No” in Item Number 5.a.): Form N-400 Edition 01/30/26 Page 22 of 26 Part 13. Applicant's Contact Information, Certification, and Signature A- 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 (include country code) 3. Applicant's Email Address (if any) 2. Applicant's Mobile Telephone Number (if any) (include country code) DRAFT NOT FOR PRODUCTION 01/30/2026 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 14., 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 (or signature of a legal guardian, surrogate, or designated representative, if applicable) Date of Signature (mm/dd/yyyy) Part 14. 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 he or she understood every instruction, question, and answer on the application. 6. Interpreter's Signature Date of Signature (mm/dd/yyyy) Form N-400 Edition 01/30/26 Page 23 of 26 Part 15. Contact Information, Certification, 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) DRAFT NOT FOR PRODUCTION 01/30/2026 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 his or her 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 he or she understands the responses and information in or submitted with the application. 6. Preparer's Signature Form N-400 Edition 01/30/26 Date of Signature (mm/dd/yyyy) Page 24 of 26 Part 16. 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 your name and A-Number at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. 1. Family Name (Last Name) Given Name (First Name) 2. Page Number Part Number Item Number 3. Page Number Part Number Item Number 4. Page Number Part Number Item Number 5. Page Number Part Number Item Number Middle (if applicable) DRAFT NOT FOR PRODUCTION 01/30/2026 NOTE: Do not complete Parts 17. or 18. until the USCIS officer instructs you to do so at the interview. Form N-400 Edition 01/30/26 Page 25 of 26 Part 17. Signature at Interview A- I swear (affirm) and certify under penalty of perjury under the laws of the United States of America that I know that the contents of this Form N-400, Application for Naturalization, subscribed by me, including corrections, are complete, true, and correct. The evidence submitted by me are complete, true, and correct. Subscribed to and sworn to (affirmed) before me DRAFT NOT FOR PRODUCTION 01/30/2026 USCIS Officer's Printed Name or Stamp Applicant's Signature Date of Signature (mm/dd/yyyy) USCIS Officer's Signature Part 18. Oath of Allegiance If your application is approved, you will be scheduled for a naturalization ceremony at which time you will be required to take the following Oath of Allegiance immediately prior to becoming a naturalized citizen. By signing below you acknowledge your willingness to take this Oath: I hereby declare on oath, that I absolutely and entirely renounce and abjure all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, of whom or which I have heretofore been a subject or citizen; that I will support and defend the Constitution and laws of the United States of America against all enemies, foreign, and domestic; that I will bear true faith and allegiance to the same; that I will bear arms on behalf of the United States when required by the law; that I will perform noncombatant service in the armed forces of the United States when required by the law; that I will perform work of national importance under civilian direction when required by the law; and that I take this obligation freely, without any mental reservation or purpose of evasion; so help me God. Applicant's Signature Form N-400 Edition 01/30/26 Date of Signature (mm/dd/yyyy) Page 26 of 26