I DECLARE INTENTION TO MAINTAIN THIS APPLICANT'S MEMBERSHIP IN THE FORT MOJAVE INDIAN TRIBE. I CERTIFY THAT {fullName} IS NOT AN ADOPTED CHILD AND IS THE NATURAL CHILD OF A MEMBER OF THE FORT MOJAVE INDIAN TRIBE. I CERTIFY THAT ALL THE INFORMATION LISTED IN ITEMS I, II, & III IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. THE INDIVIDUAL EXECUTING THIS APPLICATION REPRESENTS THAT HE OR SHE IS AUTHORIZED TO MAKE AND SUBMIT SAME ON BEHALF OF THE APPLICANT NAMED HEREIN AND AUTHORIZES THE FORT MOJAVE INDIAN TRIBE ENROLLMENT DEPARTMENT TO REQUEST AND OBTAIN ANY INFORMATION AND DOCUMENTATION PERTAINING TO THE APPLICANT DEEMED NECESSARY TO PROCESS THIS APPLICATION FROM ANY AND ALL SOURCES.