Application for Certificate of CitizenshipFile Online

• Legal Form Number: N-600
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

For

USCIS

Use

Only

I am an ADOPTED child of a U.S. citizen parent.I am a BIOLOGICAL child of a U.S. citizen parent.

This 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 Stamp

Remarks

Current Legal Name (do not provide a nickname)

Family Name (Last Name) Given Name (First Name) Middle Name

1.

Part 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)

2.

Middle Name

START HERE - Type or print in black ink.

►A-

Action BlockReceipt

Application for Certificate of Citizenship

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form N-600

OMB No. 1615-0057

Expires 12/31/2018

►

1.

Other (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 aliases.

3.

6. Date of Birth (mm/dd/yyyy)

U.S. Social Security Number (if any)4.

Country of Birth

7.

►

5. USCIS Online Account Number (if any)

►

Select this box if

Form G-28 is

attached.

To be completed

by an Attorney

or Accredited

Representative (if any).

Attorney State Bar Number

(if applicable) Attorney or Accredited Representative

USCIS Online Account Number (if any)

NOTE: Provide information about yourself if you are a person applying for the Certificate of Citizenship. Provide information

about your child if you are a U.S. citizen parent applying for a Certificate of Citizenship for your minor child.

NOTE: If you need extra space to complete this section, use the space provided in Part 11. Additional Information.

Gender

Male Female

9.

Country of Prior Citizenship or Nationality

8.

Page 1 of 15Form N-600 02/13/17 N