Fillable Moorish Divine and National Movement of the World

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Moorish Divine and National Movement of the World

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Moorish Divine and National Movement of the World
Moorish Holy Temple of Science
Moorish Science Temple of America
Asiatic Nation of North America
_____ day of ______________________14__ M.C.Y./20__ C.C.Y.
Nationality Identification Card
Visa/Passport Form - O19D
MSTA Sunday School Conference Call Class
Dial in: 712-775-7031 (LIVE CALL)
Access Code 652552802#
@ 2p-4p EST
Dial in: 712-775-7029 (PLAYBACK)
Access Code 652552802#
Sunday School Call/Wednesday Biz Call
Dial in: 712-775-7035 (LIVE CALL)
Sun @ 11a-1p EST
Access Code 848329#
Wed @8p-9p EST
Access Code 934419#
Dial in: 712-775-7039 (PLAYBACK)
Sun Call Playback
Access Code 848329#
Wed Biz Playback
Access Code 934419#
Host, Sheik Aqil Aqif Bey / msta.anona@protonmail.com
1. Name: (As it appears on your Birth Certificate, State I.D., Social Security Account etc.) along with your El or
Bey.
2. Address:
City: _______________________________ State: ________________ Zip Code: __________
3. Contact Telephone No. Home: ( )______-________ Cell: ( )_____- ________
4. Email:
5. Height:
6. Weight:
7. Hair Color:
8. Eye Color:
9. National Standard I.D. Color Code:
Light Light Olive = L.L.O., Light Olive = L.O., Medium. Olive = M.O., Dark Olive = D.O., Dark Dark Olive =
D.D.O.
10. Last 4 digits of SS#: XXX-XX-________
⃝ Visa/Passport ⃝ Nationality Identification Card ⃝ Both
Attach a color photograph
taken within the last six
months
2" by 2"
“Come all ye Asiatics & learn the truth about your nationality & birthrights”
- Prophet Noble Drew Ali
11. 2 Passport size photos (Men red Fez preferably, Women white, red or green Turban preferably)
12. *For ID Cards Only ~ Complete Autograph/Signature Page ~ (Red ink in cursive 3 times Last Name Title,
Middle Name First Name (i.e. Jackson El, Lamont Samuel)
* See Autograph/Signature Page for Detailed Instructions
●Be sure to include your contact# on back of photos
●Visa/Passport $95 Notes
●Secondary Visa/Passports containing Holy Names, Appellations, Spiritual Names etc., are an additional $25 Notes
(secondary I.D. cards are $23 notes)
●Visa/Passports for children under 18 are $15 Notes
●Be sure all fields are complete when submitting this form. Email fields 1-4 to msta.anona@protonmail.com
Submit fields 1-12, 1 PASSPORT Size Photo, along with processing fees ($95) to:
"General Delivery"
Executive Ruler Hakim Elamenu El Alli
Care of, 1050 East 33rd Street, Suite 206
Non-Domestic, Baltimore Maryland Republic [T.D.C.] 21218
Free items & materials: (PDF's)
- Divine Constitution & By-Laws
-MHTS/MSTA Holy Koran Circle 7
-101 Koran Questionnaire for Moorish Children
-Moorish Guide Literature Book
-Sample Affidavits, Writ Mandamus etc.
-Articles of Association
-Declaration of Independence
-Articles of Confederation
-Treaty of Peace & Friendship
-Constitution for the United States Republic
-Black’s Law Dictionary 4th edition
-Holy Quran of Mecca Mohammad Ali 1917 edition
*Other items are available for free in PDF format
Items for purchase: Physical Items):
-Holy Koran Circle 7 - $7 Notes
-101 Koran Questionnaire for Moorish Children $3 Notes
-Moorish Fezzes - $60 Notes
-Moorish Flags 3x5 - $15 Notes
-Black’s Law Dictionary 5th Edition - $57 Notes
*Other editions are available via Special Orders
Purchases or donations can be made @ paypal.me/mstaanofna
Islam
Form - O19D
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Moorish Divine and National Movement of the World

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Completed 2 November 2021

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