Citizenship Application Form

Citizenship Application Form
Type or print "N/A" if an item is not applicable or the answer is none unless otherwise indicated. Failure to answer all of the questions may delay your Citizenship and Immigration processing.
If your biological or legal adoptive mother or father is a U.S. citizen by birth or was naturalized before you reached your 18th birthday, you may already be a U.S. citizen. Before you consider filing this application, please visit the USCIS Website at www.uscis.gov for more information on this topic and to review the instructions for Form N-600, Application for Certificate of Citizenship, and Form N-600K, Application for Citizenship and Issuance of Certificate Under Section 322.
Date
MonthDayYear
Date
Age
Part 1. Information About Your Eligibility
Enter Your 9 Digit A-Number
Have been a lawful permanent resident of the United States for at least 5 years.Have been a lawful permanent resident of the United States for at least 3 years. In addition, you have been married to and living with the same U.S. citizen spouse for at least 3 years, and your spouse has been a U.S. citizen for the last 3 years at the time you filed your N-400.Are a lawful permanent resident of the United States an you are the spouse of a U.S. citizen and your U.S. citizen spouse is regularly engaged in specified employment abroad. (See the Immigration and Nationality Act (INA) section 319(b). If your residential address is outside the United States and you are filing under Section 319(b), select the USCIS Field Office from the list below where you would like to have your naturalization interview:Applying on the basis of qualifying military service.Other (Explain):
USCIS Field Office

Part 3. Accommodations for Individuals with Disabilities and/or Impairments
NOTE: Read the information in the Form N-400 Instructions before completing this part.
YesNo
I am deaf or hard on hearing and request the following accommodation.
I am deaf or hard on hearing and request the following accommodation.
(If you are requesting a sign-language interpreter, indicate for which language (for example, American Sign Language).)
I am blind or have low vision and request the following accommodation
I am blind or have low vision and request the following accommodation
I have another type of disability and/or impairment (for example, use of wheelchair).
I have another type of disability and/or impairment (for example, use of wheelchair).
(Describe the nature of your disability and/or impairment and the accommodation you are requesting)

Part 4. Information to contact you
1. Daytime Telephone Number
Format: (000) 000-0000.
2. Work Telephone Number (if any)
Format: (000) 000-0000.
3. Evening Telephone Number
Format: (000) 000-0000.
4. Mobile Telephone Number (if any)
Format: (000) 000-0000.
5. Email Address (if any)
example@example.com

Part 5. Information about your residence
1. Where have you lived during the last five years? Provide your most recent residence and then list every location where you have lived during the last five years.
A. Current Physical Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Date From
MonthDayYear
Date
Date Until
MonthDayYear
Date
B. Current Mailing Address (if different from address above)
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
C. Physical Address 2
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Date From
MonthDayYear
Date
Date Until
MonthDayYear
Date
D. Physical Address 3
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Date From
MonthDayYear
Date
Date Until
MonthDayYear
Date
E. Physical Address 4
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Date From
MonthDayYear
Date
Date Until
MonthDayYear
Date
Physical Address

Part 6. Information about your parents
If neither one of your parents is a United States citizen, then skip this part and go to Part 7 by clicking the checkbox below and the next button.
YesNo
Information About Your Mother
YesNo
A. Current Legal Name of U.S. Citizen Mother
First NameMiddle NameLast Name
B. Mother's Country of Birth
C. Mother's Date of Birth
MonthDayYear
Date
D. Date Mother Became a U.S. Citizen (if known)
MonthDayYear
Date
E. Mother's A-Number (if any)
Information About Your Father
YesNo
A. Current Legal Name of U.S. Citizen Father
First NameMiddle NameLast Name
B. Father's Country of Birth
C. Father's Date of Birth
MonthDayYear
Date
D. Date Father Became a U.S. Citizen (if known)
MonthDayYear
Date
E. Father's A-Number (if any)

Part 8. Information About Your Employment and Schools You Attended
List where you have worked or attended school full time or part time during the last five years. Provide information for the complete time period. Include all military, police, and/or intelligence service. Begin by providing information about your most recent or current employment, studies or unemployment (if applicable). Provide the locations and dates where you worked, were self-employed, were unemployed, or have studied for the last five years. If you worked for yourself, type or print "self-employed." If you were unemployed, type or print "unemployed."
1. Employer or School Name
Address
Street Address
Street Address Line 2
CityState
Zip Code + 4
Province or Region
Foreign Address Only
Postal Code
Foreign Address Only
Country
Foreign Address Only
Date From
MonthDayYear
Date
Date To
MonthDayYear
Date
Your Occupation
2. Employer or School Name
Address
Street Address
Street Address Line 2
CityState
Zip Code + 4
Province or Region
Foreign Address Only
Postal Code
Foreign Address Only
Country
Foreign Address Only
Date From
MonthDayYear
Date
Date To
MonthDayYear
Date
Your Occupation
3. Employer or School Name
Address
Street Address
Street Address Line 2
CityState
Zip Code + 4
Province or Region
Foreign Address Only
Postal Code
Foreign Address Only
Country
Foreign Address Only
Date From
MonthDayYear
Date
Date To
MonthDayYear
Date
Your Occupation
4. Employer or School Name
Address
Street Address
Street Address Line 2
CityState
Zip Code + 4
Province or Region
Foreign Address Only
Postal Code
Foreign Address Only
Country
Foreign Address Only
Date From
MonthDayYear
Date
Date To
MonthDayYear
Date
Your Occupation
If you need to add more information, please tick this checkbox and add the details on the field that appears.
Additional Employer or School information
Please provide the Employer or School Name, Address, in case the address is foreign add the province or region, postal code, and country. Add the period date from and date to using the mm-dd-yyyy format, and your occupation.

Part 9. Time Outside the United States
1. How many total days (24 hours or longer) did you spend outside the United States during the last 5 years?
2. How many trips of 24 hours or longer have you taken outside the United States during the last 5 years?
3. List below all the trips of 24 hours or longer that you have taken outside the United States during the last 5 years. Start with your most recent trip and work backwards.

Part 11. Information About Your Children
1. Indicate your total number of 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 who are currently married or unmarried; children living with you or elsewhere; current stepchildren; legally adopted children; AND children born when you were not married.)
2. Provide the information about all your children (sons and daughters) isted in Item Number 1., regardless of age.
A. Child 1 Current Legal Name
Given Name (First Name)Middle Name (if applicable)Family Name (Last Name)
A-Number (if any)
Date of Birth
MonthDayYear
Date
Country of Birth
Current Address
Street Number and Name
Apt/Ste./Flr No.
City or TownState
Zip Code + 4
Province or Region
(Foreign address only)
Postal Code
(Foreign address only)
Country
(Foreign address only)
What is your child's relationship to you? (for example, biological child, stepchild, legally adopted child)
B. Child 2 Current Legal Name
Given Name (First Name)Middle Name (if applicable)Family Name (Last Name)
A-Number (if any)
Date of Birth
MonthDayYear
Date
Country of Birth
Current Address
Street Number and Name
Apt/Ste./Flr No.
City or TownState
Zip Code + 4
Province or Region
(Foreign address only)
Postal Code
(Foreign address only)
Country
(Foreign address only)
What is your child's relationship to you? (for example, biological child, stepchild, legally adopted child)
C. Child 3 Current Legal Name
Given Name (First Name)Middle Name (if applicable)Family Name (Last Name)
A-Number (if any)
Date of Birth
MonthDayYear
Date
Country of Birth
Current Address
Street Number and Name
Apt/Ste./Flr No.
City or TownState
Zip Code + 4
Province or Region
(Foreign address only)
Postal Code
(Foreign address only)
Country
(Foreign address only)
What is your child's relationship to you? (for example, biological child, stepchild, legally adopted child)
D. Child 4 Current Legal Name
Given Name (First Name)Middle Name (if applicable)Family Name (Last Name)
A-Number (if any)
Date of Birth
MonthDayYear
Date
Country of Birth
Current Address
Street Number and Name
Apt/Ste./Flr No.
City or TownState
Zip Code + 4
Province or Region
(Foreign address only)
Postal Code
(Foreign address only)
Country
(Foreign address only)
What is your child's relationship to you? (for example, biological child, stepchild, legally adopted child)

Part 13. Applicant's Statement, Certification, and Signature
Note: Read the Penalties section of this Form N-400 Instructions before completing this part.
Applicant's Statement
Note: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.
1. Applicant's statement regarding the interpreter
I can read and understand English, and I have read and understand every question and instruction on this application and my answer to every question.
The interpreter named in Part 14. read to me every question and instruction on this application and my answer to every question in a language in which I am fluent, and I understood everything.
Language
At my request, the preparer named in Part 15., prepared this application for me based only upon information I provided or authorized.
Preparer
Applicant's Certification
Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek.
I further 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 laws.
I understand that USCIS will require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) 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 I provided or authorized all of the information in my application, I understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.
Applicant's Signature
Applicant's Signature
Clear
Date of Signature
MonthDayYear
Date

Part 14. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.
Interpreter's First NameInterpreter's Last Name
2. Interpreter's Business or Organization Name (if any)
Interpreter's Mailing Address
3. Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Interpreter's Contact Information
4. Interpreter's Daytime Phone Number
Format: (000) 000-0000.
5. Interpreter's Mobile Phone Number (if any)
Format: (000) 000-0000.
6. Interpreter's Email Address (if any)
example@example.com
Interpreter's Certification
I certify, under penalty of perjury, that:

I am fluent in English and language , which is the same language specified in Part 13., Item B. in Item Number 1., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understand every instruction, question and answer on the application, including the Applicant's Certification and has verified the accuracy of every answer.
Interpreter's Signature
Interpreter's Signature
Clear
Date of Signature
MonthDayYear
Date

Part 15. Contact Information, Declaration, and Signature of the Person Preparing This Application, if Other Than the Applicant
Provide the following information about the preparer.
Preparer's Full Name
1.
Preparer's First NamePreparer's Last Name
2. Preparer's Business or Organization Name (if any)
Preparer's Mailing Address
3. Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Preparer's Contact Information
4. Preparer's Daytime Phone Number
Format: (000) 000-0000.
5. Preparer's Mobile Phone Number (if any)
Format: (000) 000-0000.
6. Preparer's Email Address (if any)
example@example.com
Preparer's Statement
I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's consent.
I am an attorney or accredited representative and my representation of the applicant in this case
extendsdoes not extend beyond the preparation of this application
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I prepared this application at the request of the applicant. The applicant then reviewed this completed application and informed me that he or she understands all of the information contained in, and submitted with, his or her application, including the Applicant's Certification, and that all of this information is complete, true, and correct. I completed this application based only on information that the applicant provided to me or authorized me to obtain or use.
Preparer's Signature
Preparer's Signature
Clear
Date of Signature
MonthDayYear
Date
NOTE: Do not complete Parts 16., 17., or 18. until the USCIS Officer instructs you to do so at the interview.
Part 16. Signature at Interview
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 number 1 through 71, are complete, true, and correct. The evidence submitted by me on numbered pages 1 through blank are complete, true, and correct.

Subscribed to and sworn to (affirmed) before me
USCIS Officer's Printed Name or Stamp
Date of Signature
MonthDayYear
Date
Applicant's Signature
Clear
USCIS Officer's Signature
Clear
Part 17. Renunciation of Foreign Titles
If you answered "Yes" to Part 12., Items A. and B. in Item Number 4., then you must affirm the following before the USCIS officer:
I further renounce the title of (list titles) which I have heretofore held; or
I further renounce the order of nobility of list order of nobility to which I have heretofore belonged.
Applicant's Printed Name
Applicant's Signature
Clear
USCIS Officer's Printed Name
USCIS Officer's Signature
Clear
Date of Signature
MonthDayYear
Date
Part 18. Oath of Allegiance
If your application is approved, you will be scheduled for a public oath 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 and ability 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 civil 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 Printed Name
First NameMiddle Name (if applicable)Last Name
Applicant's Signature
Clear
Date of Signature
MonthDayYear
Date
Should be Empty:

Rows	Yes	No	Explain
A. The Communist Party
B. Any other totalitarian party
C. A terrorist organization

Rows	Yes	No	Explain
A. The Nazi government of Germany
B. Any government in any area occupied by, allied with, or established with the help of the Nazi government of Germany?
C. Any German, Nazi, or S.S. military unit, paramilitary unit, self-defense unit, vigilante unit, citizen unit, police unit, government agency or office, extermination camp, concentration camp, prisoner of war camp, labor camp, or transit camp?

Rows	Yes	No	Explain
A. Genocide?
B. Torture?
C. Killing, or trying to kill, someone?
D. Badly hurting, or trying to hurt, a person on purpose?
E. Forcing, or trying to force, someone to have any kind of sexual contact or relations?
F. Not letting someone practice his or her religion?

Rows	Yes	No	Explain
A. Military unit?
B. Paramilitary unit (a group of people who act like a military group but are not part of the official military)?
C. Police unit?
D. Self-defense unit?
E. Vigilante unit (a group of people who act like the police, but are not part of the official police)?
F. Rebel group?
G. Guerrilla group (a group of people who use weapons against or otherwise physically attack the military, police, government, or other people)?
H. Militia (an army of people, not part of the official military)?
I. Insurgent organization (a group that uses weapons and fights against a government)?

Rows	Yes	No	Explain
A. Prison or jail?
B. Prison camp?
C. Detention facility (a place where people are forced to stay)?
D. Labor Camp (a place where people are forced to work)?
E. Any other place where people were forced to stay?

Rows	Yes	No	Explain
A. Have you ever been a habitual drunkard?
B. Have you ever been a prostitute or procured anyone for prostitution?
C. Have you ever sold or smuggled controlled substances, illegal drugs, or narcotics?
D. Have you ever been married to more than one person at the same time?
E. Have you ever married someone in order to obtain an immigration benefit?
F. Have you ever helped anyone to enter, or try to enter, the United States illegally?
G. Have you ever gambled illegally or received income from illegal gambling?
H. Have you ever failed to support your dependents or to pay alimony?
I. Have you ever made any misrepresentation to obtain any public benefit in the United States?