N-400 Application

Part 1. Your Name (Person applying for naturalization)Write your USCIS A-Number here: N-400 Application for NaturalizationPrint clearly or type your answers using CAPITAL letters. Failure to print clearly may delay your Application . Use black Your current legal USCIS Use OnlyBar CodeDate StampFull Middle Name (If applicable)Given Name (First Name)B. Your name exactly as it appears on your Permanent Resident Name (First Name)Full Middle Name (If applicable)C. If you have ever used other names, provide them NameGiven Name (First Name)D. Name change (optional)Yes1. Would you like to legally change your name?No2. If ''Yes," print the new name you would like to use. Do not use initials or abbreviations when writing your new Name (Last Name)Given Name (First Name)Part 2. Information About Your Eligibility (Check only one)I am at least 18 years old ANDI have been a lawful permanent resident of the United States for at least five have been a lawful permanent resident of the United States for at least three years, and I have been married to and living with the same citizen for the last three years, and my spouse has been a citizen for the last three am applying on the basis of qualifying military (Explain)Department of Homeland Security Citizenship and Immigration ServicesFamily Name (Last Name)Family Name (Last Name)Family Name (Last Name)Read the Instructions before you decide whether to change your BlockFull M

Write your USCIS A-Number here:Part 1. Your Name (N-400 Application P erson applying for naturalization)for Naturalization Print clearly or type your answers using CAPITAL letters. Failure to print clearly may delay your application.

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