___________________ _________________________________________________________
LASTNAME FIRSTNAME MIDDLENAME MAIDENNAME
DATEOFBIRTH____________ ___ MALE FEMALE __________________________
MO.DAYYEARSOCIALSECURITYNUMBER
______________________________________________________________________________
PHYSICALADDRESS(Required)CITY STATE ZIP
_______________________________________________________________________________
MAILINGADDRESSCITY STATE ZIP
___________________________
PRIMARYPHONENUMBER
HaveyouregisteredasacitizenoftheCherokeeNationbefore? YES NO
When?______________________________Registrationnumber ? _____________________________
Theperson whosigns theapplication isrequired toencloseacopy ofhis/herStateID orState
Driver’sLicense.
Parentsmustsignforapplicant(s)under18.
Otherpersonmaysignforminorordisablediflegal
documentationissubmitted.
___________________________________________________________________________________
SIGNATUREOFAPPLICANT(Requiredinink) DATEOFSIGNATURE
BY SIGNING THIS APPLICATION FOR CITIZENSHIP, I VERIFY ALL INFORM ATION PROVIDED IS TRUE AND CORRECT. UNDER CHEROKEE NATION
CODEANNOTATEDTITLE11,CHAPTER2,SEC11.B:Anapplicantorsponsorwhoknowinglyfilesfalseorfraudulentinformationwillberejected
forenrollmentandmaybesubjecttocriminalprosecution.
_________________________________DONOTWRITEBELOWTHISLINE_________________________________
APPROVED DISAPPROVED
REASON:_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________ _______
UPDATED(05/18)
REGISTRAR DATE
CHEROKEENATION
RegistrationDepartment
P.O.Box948
Tahlequah,OK74465‐0948
918‐458‐6980
APPLICATIONFORCITIZENSHIP
INTHECHEROKEENATION
(PRINTINBLACK/BLUEINK)
ORIGINALMUSTBEMAILED
CHEROKEEREGISTRYNUMBER