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Ayllu Citizenship Application

Real Name:

Ayllu Name (see Name List):

Gender:

Age:

Email Address:

Job Requested (See Vacancies List):

Suyo:

IMs:

Yahoo ID (if applicable):

Email used for MSN Messenger (if applicable):

AIM Screen Name (if applicable):

ICQ Number (if applicable):

Are you a citizen of another micronation?

If yes, which one(s)?

Why do you want to join the Kingdom of Ayllu?

Any comments/suggestions:


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