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Sample Certificate of Naturalization
The UNITED STATES OF AMERICA No. 12345678 CERTIFICATE OF NATURALIZATION Personal description of holder as of date of naturalization: Date of birth: JANUARY 5, 1974 Sex: MALE/FEMALE Height: X feet X inches Marital status: MARRIED Country of former nationality: INDIA CIS Registration No. A012345678 I certify that the description given is true, and that the photograph affixed hereto is a likeness of me. <SIGN YOUR COMPLETE NAME IN CURSIVE LETTERS WITH BLACK PEN, NOT YOUR USUAL SIGNATURE> ___________________________________________________________________ (Complete and true signature of holder) Be it known that, pursuant to an application filed with the Secretary of Homeland Security at: FAIRFAX, VIRGINIA The Secretary having found that: Suresh Ramanlal Patel then residing in the United States, intends to reside in the United States when so required by the Naturalization Laws of the United States, and had in all other respects complied with the applicable provisions of such naturalization laws and was entitled to be admitted to citizenship, such person having taken the oath of allegiance in a ceremony conducted by the U.S. CITIZENSHIP AND IMMIGRATION SERVICES at: FAIRFAX, VIRGINIA on: OCTOBER 6, 2005 that such person is admitted as a citizen of the United States of America. <MAKE SURE SIGNATURE OR STAMP IS PRESENT> Director; U.S. Citizenship and Immigration Services IT IS PUNISHABLE BY U.S. LAW TO COPY, PRINT OR PHOTOGRAPH THIS CERTIFICATE, WITHOUT LAWFUL AUTHORITY.
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