Assyria United

1
IDENTITY DECLARATION* This field is required.Please review the statements below and select the statements you agree with:
My national identity is Assyrian
My historic homeland is Assyria
My language is Assyrian
2
Household members* This field is required.Please indicate the number of household members
3
PUBLIC VISIBILITY* This field is required.Please choose if you would like your information to be public or private.
Public
Private
4
PUBLIC SUPPORTER* This field is required.Your name may be displayed on the public supporters list (visible worldwide). Please choose how you would like it displayed.
Full name
First name + last initial
Initials only
You may also display my country/region publicly.
5
PRIVATE SUPPORTER* This field is required.Do not display my name publicly. You may count me as a verified supporter. Email addresses (and any optional contact info) are never displayed publicly.
YESNO
6
Name* This field is required.
First Name
Last Name
7
COUNTRY / REGION* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Email* This field is required.Will always remain private
example@example.com
9
HOW THIS DECLARATION MAY BE USED

Verified submissions may be used to support:

Community-based population documentation

Research and census-related advocacy

Public or formal communications with governments and international organizations

Demonstrating visible support for Assyrian identity and recognition

Participation is voluntary, and agreement does not imply membership, legal status, or political affiliation.
10
PRIVACY & CONSENT* This field is required.I understand my submission is voluntary and I consent to the use of my information for the purposes described on this page. I understand that declaring Assyrian identity may reveal sensitive identity information, and I voluntarily choose to submit this form. I understand I may request removal at any time by contacting the email below. I confirm I am at least 13 years old. If less than 13, need parental consent. I understand a verification email may be sent to confirm my submission and prevent spam/fake entries.
YESNO
11
PRIVACY NOTICE

No information is sold.
Information is used only for Assyrian identity and advocacy purposes described above.
Email is used for verification and removal requests and is never displayed publicly.
Submissions may be reviewed to prevent abuse, spam, or misrepresentation.
Retention: Records are kept until removal is requested or until this initiative ends, after which they will be deleted or anonymized within 3 years.
Removal requests email: AssyrianRegistry@gmail.com
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