N-600, Application for Certificate of Citizenship

1 page 1 of 15 Form N-600 11/08/19 DRAFT Not for Production 06/10/2020 To be completed by an Attorney or Accredited USCIS Use OnlyI am an ADOPTED child of a citizen am a BIOLOGICAL child of a citizen Application is being filed based on the fact that: (Select only one box)Part 1. Information About Your Eligibility Enter Your 9 Digit A-Number:Date StampRemarksCurrent Legal Name (do not provide a nickname)Family Name (Last Name)Given Name (First Name)Middle Name 2. Information About You Family Name (Last Name)Given Name (First Name)Your Name Exactly As It Appears on Your Permanent Resident Card (if different from above) NameSTART HERE - Type or print in black ink.

2 A-Action BlockReceiptApplication for Certificate of Citizenship Department of Homeland Security Citizenship and Immigration Services USCIS Form N-600 OMB No. 1615-0057 Expires 11/30/2021 (Explain fully): Middle NameGiven Name (First Name)Family Name (Last Name)Other Names You Have Used Since Birth Provide all other names you have ever used, include nicknames, maiden name, and of Birth (mm/dd/yyyy) Social Security Number of Birth7. Online Account Number NOTE: Provide information about yourself if you are an applicant applying for the Certificate of Citizenship .

3 Provide information about your child if you are a citizen parent applying for a Certificate of Citizenship for your minor : If you need extra space to complete this section, use the space provided in Part 11. Additional of Prior Citizenship or State Bar Number Select this box if Form or Accredited Representative USCIS Online Account NumberPage 2 of 15 Form N-600 11/08/19 DRAFT Not for Production 06/10/2020 Part 2. Information About You (continued) AddressCity or TownStateZIP Code + Number and Name (Do not provide a PO Box in this space unless it is your ONLY address.)

4 -Postal Code (foreign address only)Province (foreign address only)Country (foreign address only) AddressIn Care Of Name(USPS ZIP Code Lookup)Current Marital , Never MarriedWidowedMarriedSeparatedOther (Explain) About Your Admission into the United States and Current Immigration StatusMarriage Annulled I arrived in the following manner: of Entry (mm/dd/yyyy)Exact Name Used at Time of EntryMiddle NameGiven Name (First Name)Family Name (Last Name)City or TownStateZIP Code + Number and Name-Postal Code (foreign address only)Province (foreign address only)Country (foreign address only) Armed you a member or veteran of any branch of the Armed Forces?

5 I used the following travel document to be admitted to the United Document PassportPassport NumberTravel Document NumberCountry of Issuance for Passport or Travel DocumentDate Passport or Travel Document Issued (mm/dd/yyyy)Page 3 of 15 Form N-600 11/08/19 DRAFT Not for Production 06/10/2020 A-Part 2. Information About You (continued)I obtained LPR status through adjustment of status in the United States or admission as a LPR. I became a LPR (mm/dd/yyyy) Citizenship and Immigration Services (USCIS) Office That Granted My LPR Status or Location Where I Was AdmittedNoYesHave you previously applied for a Certificate of Citizenship or Passport?

6 You answered "Yes" to Item Number 15., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional you ever abandoned or lost your LPR status?If you answered "Yes" to Item Number 16., provide an explanation below. If you need extra space to complete this section, use the space provided in Part 11. Additional you adopted? you answered "Yes" to Item Number 17., complete Items A. - of Final you have to be re-adopted in the United States? you answered "Yes" to Item Number 18.

7 , complete Items A. - of Final Adoption (mm/dd/yyyy) most recent immigration status in the United States Lawful Permanent Resident (LPR)A NonimmigrantOther (Explain):A Refugee/AsyleeNOTE: If you select Other and you need extra space to complete this section, use the space provided in Part 11. Additional or TownCountryCountryStateCity or of Final AdoptionDate Legal Custody Began (mm/dd/yyyy) Physical Custody Began (mm/dd/yyyy) Legal Custody Began (mm/dd/yyyy) Physical Custody Began (mm/dd/yyyy) of Adoption (mm/dd/yyyy) your parents married to each other when you were born (or adopted)?

8 Your parents marry after you were born? you regularly reside in the United States in the legal and physical custody of your citizen parent(s), or, if over 18 years of age, did you regularly reside in the legal and physical custody of your citizen parent(s) before turning 18 years of age? 4 of 15 Form N-600 11/08/19 DRAFT Not for Production 06/10/2020 A-Part 2. Information About You (continued)Date You Left the United States (mm/dd/yyyy) You Returned to the United States (mm/dd/yyyy) You Left the United States (mm/dd/yyyy) You Returned to the United States (mm/dd/yyyy) 3.

9 Biographic InformationHeightFeetInchesRace (Select all applicable boxes)American Indian or Alaska Hawaiian or Other Pacific IslanderNot Hispanic or LatinoHispanic or LatinoEthnicity (Select only one box) OtherEye color (Select only one box)Bald (No hair)SandyRedWhiteGrayBlondBrownBlackHai r color (Select only one box) OtherComplete the following information only if you are claiming Citizenship at the time of birth if you were born before October 10, 1952. If you need extra space to complete this section, use the space provided in Part 11.

10 Additional you been absent from the United States since you first arrived? or of Entry Upon Return to the United StatesStateCity or of Entry Upon Return to the United StatesPart 4. Information About Your Citizen Biological Father (or Adoptive Father)NOTE: Complete this section if you are claiming Citizenship through a biological father (or adoptive father). Provide information about yourself if you are a citizen father applying for a Certificate of Citizenship on behalf of your minor biological or adopted Legal Name of Citizen FatherFamily Name (Last Name)Given Name (First Name)Middle or African AmericanWhiteAsianPage 5 of 15 Form N-600 11/08/19 DRAFT Not for Production 06/10/2020 A-Part 4.