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Get Nationality Certificate Format

Of October 14, 1940 (54 Stat. 1171) and Section 358 of the Act of June 27, 1952 (66 Stat. 272). DEPARTMENT USE ONLY Embassy/Consulate of the United States of America at ss: I, . Name hereby certify that, to the best of my knowledge and belief, Name was born at , Town or City Province or County , on State or Country Date (mm-dd-yyyy) That: he/she never resided in the United States (Dates*) ; That: he/she resides at ; That: he/she acquired the nationality of the United States b.

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