Citizenship - cassiopeia nation

Common Citizenship Application Form

First Name*

Middle name

Last Name*

Suffix or Title

Date of birth*

Gender*

Male

Female

Your Height (m)*

Eye Color*

Country*

Town / City*

Street Address*

Postcode / Zip*

Email*

Message

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By submitting this form, you are applying for symbolic free citizenship in Cassiopeia. By clicking “Submit”, you agree to our Terms and that you have read our Data Use Policy.*

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