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Citizenship

First Name

Middle Name

Last name:

Date of birth /dd-mmmm-yyyy

Height (centimetres)

Eye Colour

Hair Colour

Email Address:

Sex

Male

Female

Country of Birth

Country of Citizenship

Country of Residence

Native or Main Language

Other Language/s

Marital Status

Single (never married, not in a relationship)

Divorced (not in a relationship)

Widowed (not in a relationship)

Commitment (relationship of less than 10 months)

Married (relationship of 10 or more months)

Number of Dependents (under 15 years of age)

Permanent Postal/Mailing Address

Telephone

(Include international and local area codes)

E-mail

By checking this box you indicate that you have read and agree to the Statements of Understanding:

Yes

  • I understand and accept that the Empire of Thrace cannot accept responsibility for the position of any foreign government regarding its Citizenship and/or Personal Identification documents.
  • I understand and accept that Thracian Citizenship, should it be granted me, complements, but does not supercede my existing citizenship.
  • I understand and accept that Thracian Citizenship, should it be granted me, may be withdrawn subject to applicable laws.
  • I understand and accept that I may renounce my Thracian Citizenship at any time, subject to notification in writing to the Ministry of Immigration and the return of all Citizenship and Personal Identification documentation to the Ministry.
  • I understand and accept that the Empire of Thrace is at present a supra-territorial aspirant state and does not provide access to immigration or relocation services through this Citizenship program.
  • I understand and accept that all Citizenship and Personal Identity documentation issued to me by the Ministry of Immigration remain the property of Empire of Thrace and must be surrendered to appropriately authorised representatives of the Empire upon request.
  • I understand and accept that the information provided within this application is strictly confidential and will not be communicated to any third party, except in the case of formal request by foreign governmental agencies.
  • I affirm that the information provided about myself above is true and accurate to the best of my knowledge.
  • Civic Affirmation:
  • I, the abovenamed applicant, hereby affirm my loyalty to the Empire of Thrace. I promise to abide by and respect its Constitution, laws and institutions, and to act responsibly and with a spirit of tolerance and equanimity towards my fellow Citizens, to the best of my ability.

His Majesty’s Ministry of Immigration