Citizenship Request Form

[Eckstein Z. A. Filip]

In order to become a citizen, you need to complete the following form which, once accepted by an Official of The Government, will allow you to become a citizen of Tellia.

Full Name:
E-Mail:
Year of Birth:
Actual Location:
Other Micronational Citizenships:
Positions held in Other Countries:
Requested Province:


I, (Name Here) do hereby swear allegiance to the His Majesty, Christopher I.

Signed: (Name Here)

[Eckstein Z. A. Filip]

The Credit for creating the layout of this form goes to Lord Kieran, Prime Minister of The Democratic Republic of Bobalania.