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Social Security Number Application Guide

The document is an online application for a Social Security Number (SSN) for an individual who is 18 years or older and a U.S. resident. It includes personal information such as citizenship status, date of birth, name change request, and mailing address. The applicant is Nardos Zerihun Birhanu, born in Ethiopia, and is applying for a new SSN card with supporting documentation.

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nardossunflowerandualem
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11 views1 page

Social Security Number Application Guide

The document is an online application for a Social Security Number (SSN) for an individual who is 18 years or older and a U.S. resident. It includes personal information such as citizenship status, date of birth, name change request, and mailing address. The applicant is Nardos Zerihun Birhanu, born in Ethiopia, and is applying for a new SSN card with supporting documentation.

Uploaded by

nardossunflowerandualem
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

An official website of the United States government

Here’s how you know

Social Security

Online Social Security


Number Application

Review and Edit


Please review the answers you provided. If you
need to make any changes, please select
"Edit" to return to that part of the application
and make the correction.

Age Edit

You must be 18 or older to fill out this


application. Are you 18 or older?:
Yes

U.S. Mailing Address Edit

Do you have a U.S. mailing address?: Yes

Social Security Number Edit

Does the person who the application is for


already have a Social Security Number (SSN)?:
Yes

Citizenship Status Edit

Is the individual for whom you are applying a


U.S. citizen?:
No

Applying For Edit

Who are you applying for?: Yourself

Date of Birth Edit

What is your date of birth?:


November 12, 2007

Name Change Edit

Are you requesting a name change?: Yes

Place of Birth Edit

Where is your place of birth?:


Addis Abeba, Ethiopia

Assigned Social Security


Edit
Number

What is your Social Security Number (SSN)?:


533-77-6176

Name Edit

How should your name appear on the new


card?:
Nardos Zerihun Birhanu

Is the name you entered your full birth name?:


Yes

Have you ever had a Social Security Number


(SSN) card under a name not listed above?:
No

Parent's Name Edit

What is your parent/mother's birth name?:


Tsegereda Tadesse Asmamaw

What is your parent/father's name?:


Zerihun Birhanu Habite

U.S. Mailing Address and


Edit
Phone Number

What is your mailing address?:


Street Address: 102 Schuyler Rd

Apartment, Suite, Building, Etc.: Apt 107

City/Town: Silver spring

State: Maryland

ZIP Code: 20901

What is your daytime phone number?:


(240) 398-4070

Race and Ethnicity Edit

Are you Hispanic or Latino? (Select one): No

What is your race? (Select one or more):


Black/African American

Documentation Edit

Evidence Documentation For You: Foreign


Passport

Name Change Documentation:


Amended birth certificate

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Exit

OMB No. 0960-0066

[Link]
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