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The Republic of New Saigon
Citizenship Application
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* Indicates required question
Surname
*
Your answer
First Name
*
Your answer
Preferred Name
If you wish for a different name to be printed onto your I.D, please state it here.
Your answer
Email Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Prefer not to say
Other:
Languages spoken?
Your answer
Country of Residence
Your answer
Former or current citizen of another micronation? If so, please specify.
*
Your answer
Join the Republic's Mailing List?
Yes
No
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Where would you like to reside?
*
Wichita
Con Dao ( Lotus Township )
Tho Chu ( Coral Lagoona City )
Hon Khoai ( Khoai Forests )
How did you learn about us?
Your answer
Why do you want to join the Republic? This can be a short answer or essay, this is optional.
Your answer
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