Fill - Free fillable Citizenship-application - Citizenship Application PDF form

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___________________ _________________________________________________________

LASTNAME  FIRSTNAME MIDDLENAME MAIDENNAME

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DATEOFBIRTH____________ ___ MALE FEMALE __________________________

MO.DAYYEARSOCIALSECURITYNUMBER

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______________________________________________________________________________

PHYSICALADDRESS(Required)CITY  STATE ZIP

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_______________________________________________________________________________

MAILINGADDRESSCITY  STATE ZIP

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___________________________

PRIMARYPHONENUMBER

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HaveyouregisteredasacitizenoftheCherokeeNationbefore?  YES NO

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When?______________________________Registrationnumber? _____________________________

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 Theperson whosigns theapplication isrequired toencloseacopy ofhis/herStateID orState

Driver’sLicense.

 Parentsmustsignforapplicant(s)under18.

Otherpersonmaysignforminorordisablediflegal

documentationissubmitted.

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___________________________________________________________________________________

SIGNATUREOFAPPLICANT(Requiredinink)  DATEOFSIGNATURE

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BY SIGNING THIS APPLICATION FOR CITIZENSHIP, I VERIFY ALL INFORMATION PROVIDED IS TRUE AND CORRECT. UNDER CHEROKEE NATION

CODEANNOTATEDTITLE11,CHAPT ER2,SEC11.B:Anapplicantorsponsorwhoknowinglyfilesfalseorfraudulentinformationwill berejected

forenrollmentandmaybesubjecttocriminalprosecution.

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_________________________________DONOTWRITEBELOWTHISLINE_________________________________

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APPROVED DISAPPROVED

REASON:_____________________________________________________________________________________

_____________________________________________________________________________________

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

______________________________

UPDATED(05/18)

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   REGISTRAR  DATE

CHEROKEENATION

RegistrationDepartment

P.O.Box948

Tahlequah,OK74465‐0948

918‐458‐6980

APPLICATIONFORCITIZENSHIP

INTHECHEROKEENATION

(PRINTINBLACK/BLUEINK)

ORIGINALMUSTBEMAILED

CHEROKEEREGISTRYNUMBER

Fill Online, Printable, Fillable, Blank Citizenship-application - Citizenship Application Form

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Fill Online, Printable, Fillable, Blank Citizenship-application - Citizenship Application Form

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