AFFIDAVIT OF RESIDENCE AND PATERNITY/MATERNITY I solemnly swear or affirm that the following statements are true and complete to the best of my knowledge and belief. I acknowledge that the purpose of this Affidavit is the establishment of my relationship to persons claiming U.S. citizenship entitlement to visas or federal benefits. Name Date of Birth Last First Middle Social Security No* Month/Day/Year Local telephone No* If you are a U*S* citizen please complete the following I became a U*S* citizen by Birth in the U*S* Born American outside of the U*S* Naturalization Passport or Naturalization Certificate No* Date Issued Place What is your occupation Have you ever been outside of the United States as an employee or as the dependent of an employee of the U*S* government or an international organization Yes No If Yes list the agency or organization and the dates abroad as an employee or Organization Name Have you worked as a seafarer Dates Abroad If Yes provide all of your discharge sl.
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