Obscurian Citizenship Application

Obscurian Citizenship Application
Name

First nameSurname
Date of Birth

MonatTagJahr
Datum
Place of Birth
Sex
Valid E-mail
example@example.com
Address

Street and house number

Street Address Line 2

City*Country*

Postal / Zip Code
Discord Account
Required to participate in Parliamentary meetings!
Phone Number
Please enter a valid phone numberFormat: (000) 000-0000.
!You can only acquire Obscurian citizenship if you hold less than 3 other citizenships!
Other Citizenships (Macro and Micronational):
Why do you wish to become a citizen of Obscurium?
Do you pledge your allegiance to the Basic Law of the United Republic of Obscurium?
Signature
Please understand that any false information you deliberately give us within this form may disqualifiy you from citizenship.
Ministry of Customs and Immigration of the United Republic of Obscurium Data Protection Disclaimer: Your data and inofmations will not be given to any third party and will only be accesible to you and the Government of Obscurium.
Current Occupation
Should be Empty: