N-400 CITIZENSHIP APPLICATION



THE LAW OFFICE OF MARK CARMEL


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Mark Carmel, U.S. Lawyer
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Citizenship Information Form

Applicant's Full Name:
Applicant's Birth Date:
Country of Birth:
APPLICANT'S MAILING ADDRESS:
Street Name and Number:
City:
Zip/Postal Code:
Province/Other:
State or Country :
Email Address:
Phone Number:
"A" Number:
Date Became Permanent Resident:(month/day/year)
Number of Times Married:
Spouse's Social Security Number:
Date of Marriage:
Home Address-Street Number and Name
City:
State:
Zip Code:
Total Days Spent Outside Of The United States Over The Last Five Years:
How Many Trips Of 24 Hours Or More Have You Taken Outside Of The United State Over The Last Five Years
Zip Code:
List all trips outside of the United States for over 24 hours since becoming a permanent resident:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Date You Left The United States: (month/day/year)
Date You Returned To The United States: (month/day/year)
Countries To Which You Traveled:
Total Days Outside Of The United States:
Select a Card Type :
Account Number : (No Spaces or Dashes)
Expiration Date : Month :     Year :
Item Price: $99$
APPLICANT IS RESPONSIBLE TO PROVIDE ALL USCIS APPLICATION FEES
Comments :
(Please limit your comments to 500 characters or less)


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