FOR CITIZENS ONLY:

See Section III a and b of Constitution


In order to find out how many of each colour there is within The Republic, candid assesment is imperative. Please decide and tick the relevant box:

I am black

I am light black
I am medium black
I am dark black

I am white

I am light white
I am medium white
I am dark white

I am yellow

I am light yellow
I am medium yellow
I am dark yellow

Citizenship

I am a Citizen
I am not a Citizen

Name

Last name

First name

Middle name


Address

Line one

Line two

Line three

Post Code

Country of residence


e-mail address






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