Nation of Cherut Citizenship Application

Personal Information

Full Legal Name:

Date of Birth:

Month

Day

Year

Gender:MaleFemale

Address (Current Residence):

City

State/Province

Country

Phone Number:

Email Address

Linkedin Profile (If Applicable)

Marital Status:

Number of Dependents (if applicable):

If applicable, please list all dependents under 18 that you wish to enroll as members.

First Name

Last Name

Date of Birth:

Month

Day

Year

Gender:MaleFemale

Interests:

Educational Level (for up to 6 children)

Citizenship and Heritage

What is your race?

Are you okay with being referred to as Indigenous or Afro-Indigenous?YesNo

How do you identify your cultural heritage?

What is your nationality?

Have you ever held dual or multiple citizenship?YesNo

If yes, please specify:

Skills, Experience, and Interests

What are your current or past professions or trades?

Other (please specify):

Are you willing to volunteer or work toward the development of The Nation of Cherut?YesNo

Aspirations and Goals

Why do you want to become a member of The Nation of Cherut?

How do you see yourself contributing to the growth and sustainability of the nation?

What values or principles of The Nation of Cherut resonate with you the most?

Supporting DocumentsPlease attach the following documents:

A copy of a valid ID or passport. This is for identity and security purposes. Your membership card will reflect the information shown on your valid identification or passport

No file chosen

Resume (optional but recommended. It is required if you plan to serve in government positions or to be considered for employment opportunities)

No file chosen

A written statement (150-300 words) on your vision for Cherut and your potential contributions to its development. (Optional)

No file chosen

Membership OathI solemnly pledge my loyalty, dedication, and service to the Nation of Cherut, its Warrior Queen, and all its citizens. As a proud member of The Nation of Cherut, I vow to uphold the values of spirituality, self-determination, self-care, sustainability, and solidarity that define our nation. I will contribute to the growth and prosperity of our free and independent nation, respecting its laws, protecting its freedoms, and honoring its culture and traditions. With integrity and a steadfast spirit, I commit to fostering peace, moving with integrity, and serving my fellow citizens and our nation with honor and pride.

Date

DeclarationI hereby declare that all information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in the denial of my membership application.

Date

Nation of Cherut Citizenship Application

Welcome to The Free and Independent Nation of Cherut.

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