Citizenship | République Jaïlavera

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Citizenship

First name / Antaŭnomo

(actual identity, of use for Transgenders and Non-binaries)

Date of birth / Naskiĝdato

Surname / Familia nomo

(actual identity, of use for Transgenders and Non-binaries)

Genre / Ĝenro

Country of origin / Origina lando

City / Urbo

E-mail / E-poŝto

Motivations for applying for citizenship

I accept the terms and conditionsSee terms of use

*mandatory/deviga

Thank you for what you sent !

2019 by Léopold DEUFF, Jailavera Inc. Contact: jalavera.gov@gmail.com Created with Wix.com

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