Providing the following information will assist Zhang and Assoc. in guiding you through the naturalization process:
DOCUMENTS
Copy of Alien Registration Card (Green Card);
Two recent identical photos;
Copy of passport;
Copy of marriage license, if you are claiming eligibility for naturalization based on marriage to an U.S. citizen;
INFORMATION
Last name ____________ First Name _______________Middle Name_________
Address in the U.S. ________________________________________
_____________________________________________________________
Date of Birth (mm/dd/yy)___________Country of Birth____________________
Social Security Number______________________________________________
A#____________________________
Basis for eligibility (Check one)
__ I have been a permanent resident for at least five years;
__ I have been a permanent resident for at least three years, and have been married to an U.S. citizen for those three years
__ I am a permanent resident child of U.S. citizen parents;
__ I am applying on the basis of qualifying military service in the armed forces of the U.S. and have attached completed forms N-426 and G-325B;
__ Other (Section of Law _________________)
Additional information about you
Date you became a permanent resident (mo/day/yr)___________________
Port where admitted with an immigrant visa or USCIS office where granted adjustment of status
__________________________________
Current citizenship________________________________
Name on Alien Registration Card (if different than Part I.)__________________
Other names used since you became a permanent resident___________________
Sex(male)_____(female)_____, Height__________
Marital Status (single)____(divorced)____(married)____(widowed)____
Can you speak, read, and write English? (yes)______(no)______
Have you ever been absent from the U.S. since becoming a permanent resident?
(yes)_____ (no)_____
If "yes" complete the following:
Date left the U.S._______________________
Date returned _______________________
Did absence last 6 months or more? (yes)___(no)___
Destination _______________________
Reason for Trip_______________________
Information about your residence and employment
List your address in the last 5 years or since you became a permanent resident, whichever is less. Begin with your current address.
(Street number) (City) (State) (Zip code) (Country) From To
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
List your employers during the last 5 years. List your present or most recent employer first.
(Employer's name) (Employer's address) From To Occupation/Position
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Information about your marital history
Total number of times you have been married____________
Information about your current husband/wife
(Last name)____________(First name)________________(Middle name)______
(Address)
_________________________________________________________________
_________________________________________________________________
(Date of birth)______________________
(Country of birth)_____________________, (Citizenship)___________________
(Social Security number)__________________________A#_________________
(Immigration status, if not U.S. citizen)_________________________
(Date of Naturalization)________________
(Place of Naturalization)________________
If you have ever been previously married, or if your current spouse has ever been previously married, please provide the following: Your prior spouse
(Name)____________________________________
(Date of marriage)___________________________
(Date marriage ended)________________________
(How marriage ended)________________________
(Immigration status of prior spouse)_____________
The prior spouse of your current spouse
(Name)_____________________________________
(Date of marriage)____________________________
(Date marriage ended)_________________________
(How marriage ended)_________________________
(Immigration status of prior spouse)______________
Information about your children
Total number of children_______
Please provide the following information about your children:
Name DOB Country of birth Citizenship A# Address (If different than yours)
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
List your current and past membership in or affiliations with organizations, associations, funds, foundations, parties, clubs, societies or similar groups in the U.S. or outside the U.S. Include any military service in this part.
Name of organization Location Dates of Membership Nature of organization
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Complete only if you checked "c" in part II.
How many of your parents are U.S. citizens? One__ Both__
Please provide the following information about one of your U.S. citizen parent(s):
Last name_______________ First name________________ Middle name_________
Address___________________________________________________
__________________________________________________________
__________________________________________________________
Basis of citizenship (birth)____________
(Naturalization certificate number)______________________
Relationship to you (natural parent)___________(adoptive parent)____________
(Parent of child legitimized after birth)__________________
Date of adoption or legitimization_______________________________________
Does this parent have legal custody of you? (yes)____(no)____
(Updated 10/08/12 by NT)
For other information about Naturalization, please click the following links: