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Email Address
*
Prefix
Mr.
Mrs.
Ms.
Mx.
Miss
Dr.
Prof.
First Name
*
Middle Name
Last Name
*
Date of birth
*
What nation are you applying for citizenship in?
*
Stret Merdhin (Mainland)
Corsa
Opstandia
What is your gender?
*
Male
Female
Other/Don’t want to say
What is your ethnicity?
*
Asian or Asian Stretish
Black, Black Stretish, Caribbean or African
White
Other
In what country or territory are you currently residing?
*
What are your nationalities?
*
What is your marital status?
*
Single
Married
Widowed
Other
Do you have any children or dependents under the age of 18?
*
Yes
No
Consent
*
Yes, I agree with the
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and
terms and conditions
.
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