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pdf5/1/2018
USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary
Review the N-336 form information
Here is a summary of all the information you provided in your request.
Make sure you have provided responses for everything that applies to you before you submit your
request. You can edit your responses by going to each request section using the site navigation.
We also prepared a draft case snapshot with your responses, which you can download below.
View draft case snapshot (/apply/snapshot/119705/N-336)
Getting Started
Preparer or interpreter
Is someone assisting you with completing this
request?
Yes
Is a preparer assisting you with
completing this request?
Yes
Is an interpreter assisting you with
completing this request?
Yes
Preparer Information
What is your preparer's full name?
Sally Preparer
What is your preparer's business or
organization name?
Preparer LLC
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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary
What is your preparer's mailing address?
United States
123 ABC Street
Apt 1
Springfield, VA, 12345
What is your preparer's contact information?
Daytime telephone number
(202) 123-4567
Mobile telephone number
(202) 123-4567
Email address
preparer@demo.com
Interpreter Information
What is your interpreter's full name?
Nina Interpreter
What is your interpreter's business or
organization name?
Interpreter LLC
What language is your interpreter using to
interpret this application for you?
Spanish
What is your interpreter's mailing address?
United States
123 ABC Street
Apt 1
Springfield, VA, 12345
What is your interpreter's contact information?
Daytime telephone number
(202) 123-4567
Mobile telephone number
(202) 123-4567
Email address
interpreter@demo.com
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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary
About You
About You
What is your current legal name?
John David Smith
Have you used any other names since birth?
Yes
Provide the other names you have used.
Johnny Smith
Your contact information
Mobile telephone number
(234) 987-2984
Daytime telephone number
(234) 987-2984
Evening telephone number
(234) 987-2984
Work telephone number
(234) 987-2984
Email address
aslkdfj@gmail.com
What is your current mailing address?
United States
111 MASSACHUSETTS AVE NW
WASHINGTON, DC, 20529-2098
Where do you live now?
United States
111 MASSACHUSETTS AVE NW
WASHINGTON, DC, 20529-2098
Additional information
What is your date of birth?
01/01/1984
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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary
What is your A-Number?
023456789
What is your USCIS Online Account Number?
987654321
Describe yourself
What is your ethnicity?
Not Hispanic or Latino
What is your race?
American Indian or Alaska Native
What is your height?
5'11''
What is your weight?
123
What is the color of your eyes?
Blue
What is the color of your hair?
Brown
Requests for accommodations
Are you requesting an accommodation
because of your disabilities and/or
impairments?
Yes
Your Request
Information about denial
What is the receipt number for your Application
for Naturalization (N-400)?
IOE9873294729
What is the date of the denial notice for your
Application for Naturalization?
01/01/2018
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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary
Which USCIS office issued the denial notice for
your Application for Naturalization?
Washington District Office
Reason for hearing
Why are you requesting a hearing?
-
Additional Explanation
Additional Explanation
You may provide additional information for
your request
-
Your Evidence
Evidence to Support Your Request
Evidence in support of your request
Certificate.jpg
(/apply/evidence_uploads/downloa
d/119705/dx0Qikute4KDrnfxvABX_
HHNCIAdHhzXbGQnfvCUX-UctYTwnF0JzMO0yOIOLbxYNV7NHl3Dnj
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File Type | application/pdf |
File Modified | 2018-05-03 |
File Created | 2018-05-02 |