ARNA - XI-AMARU TRIBAL GOVERNMENT = ABORIGINAL = JURIST = SERVICES =
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Nationality Registration
and Signature Page
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Indicates required field
Name
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First
Last
Phone Number
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Email
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Street Address
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City
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County
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State
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Zip Code
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DRIVERS LICENSE NUMBER
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WHAT STATE WAS YOUR LICENSE ISSUED?
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MONTH DAY AND YEAR OF BIRTH (EX. 00/00/0000)
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HEIGHT AND WEIGHT APPROXIMATELY
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SOCIAL SECURITY NUMBER
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SOCIAL SECURITY BOND # ON BACK OF CARD (PLACE ZEROS IF YOU DON'T KNOW OF REFUSE THIS INFO)
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COUNTY & STATE OF BIRTH
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NAME OF ABORIGINAL JURIST WHO REFERRED YOU. ENTER DR. ALI IF NO JURIST REFERRED YOU.
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BIRTH CERTIFICATE NUMBER - STARTS WITH 3 DIGITS (PLACE ZEROS IF YOU REFUSE TO PROVIDE THIS INFO)
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FULL NAME OF FATHER & BIRTHPLACE (COUNTY & STATE)
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FULL NAME OF MOTHER & BIRTHPLACE (COUNTY & STATE)
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NUMBER OF CHILDREN (LIST # OF BOYS AND GIRLS)
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ARE YOU MARRIED OR UNMARRIED
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CRIMINAL CHARGES (TYPE & STATE)
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EDUCATION LEVEL (NAME OF SCHOOL)
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Select One
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Home Owner
Renter
FULL INDIGENOUS NAME YOU SELECTED
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PURPOSE FOR JOINING ARNA.
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PLEASE PROVIDE A PHOTO FOR ID PRODUCTION. (SEE INSTRUCTIONS)
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Max file size: 20MB
PHOTO MUST BE ON A SOLID WHITE BACKGROUND.
PROVIDE SCANNED SIGNATURE FOR ID. (SEE INSTRUCTIONS)
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Max file size: 20MB
Please use a felt tip marker for your signature on a blank sheet of paper. Ink pens signatures are too thin and will not show on your ID Credentials. Thank you.
I declare by providing my signature that it will be exclusively used to add my signature/autograph to my Indigenous identification Credentials and for no other purpose whatsoever in any jurisdiction whether indigenous jurisdiction of the Aboriginal Republic of North America or the Republic of the united States of America.
(I agree by clicking the submit button)
Submit and Pay Fee
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