Sample Certificate of U.S. 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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