Applicant Registration Form / Registración de Solicitante / Fòm Enskripsyon Pou Aplikan
Date: Saturday, March 19th, 2016
Time: 10:00 a.m. - 2:00 p.m.

501 Marlins Way
Miami, FL 33125

Attendees will receive assistance with the Application of Naturalization (N-400) and the Fee Waiver Form (I-912) on a first come first serve basis.

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Fecha: sábado, 19 de marzo, 2016
Hora: 10:00 a.m. - 2:00 p.m.

501 Marlins Way
Miami, FL 33125

Los asistentes recibirán asistencia con la solicitud de naturalización (N - 400) y el Formulario de perdon de pagos (I- 912).
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Dat: samdi 19 Mas 2016
Le: 10:00 a.m. - 2:00 p.m.

501 Marlins Way
Miami, Fl 33125

Patisipan ap resevwa asistans ak aplikasyon Natiralizasyon an (N-400) ak Fòm pou egzansyon frè (I-912).

First Name / Nombre / Premye Non
Your answer
Last Name / Nombre/ Siyati
Your answer
Primary Language / Idioma Primario / Lang Prensipal
Country of Origin / País de Origen / Ki Peyi'w Soti
Marital Status / Estado Civil / Estati Marital
Required
Do you receive any type of public benefit? / ¿Recibe algun tipo de beneficio publico? / Ou resevwa nenpòt kalite benefis piblik?
Required
Address / Direccion / Adrès
Your answer
City / Ciudad / Vil
Your answer
Zip Code / Código Postal / Kòd postal
Your answer
State / Estado / Eta
Phone Number / Número de teléfono / Nimewo Telefòn
Your answer
Type of Phone/ Tipo de teléfono/ Ki kalite Telefòn
What time is best to contact you? / ¿Que hora es mejor para communicarnos con usted?/ Ki lè ki pi bon pou pran kontakte avek ou?
Required
E-mail / Correo electrónico / Imel
Your answer
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