THIS IS THE APPLICATION ~ PRINT THIS PAGE!!!
PLEASE ALLOW FOUR
TO SIX WEEKS TO
PROCESS THANK YOU
FOR YOUR PATIENCE.
Form CR-AppCG-1
STAFF USE ONLY: **** 
Passport #______________
EXP. DATE ____/____/____
OFFICE OF THE SECRETARY GENERAL

APPLICATION FOR CONSUL GENERAL

________________________________________________________________________
FULL NAME

________________________________________________________________________
STREET ADDRESS

________________________________________________________________________
CITY, STATE, COUNTRY, POSTAL CODE

________________________________________________________________________
TELEPHONE, FAX, AND EMAIL

_________/___________/_______  ________________________________________ BIRTHDATE: DAY, MONTH, YEAR         BIRTHPLACE: CITY, STATE, COUNTRY

__________________   ________________________   _______________________
SEX                  EYE COLOR                  HAIR COLOR

__________________   ________________________   _______________________
HEIGHT (FT/M)          WEIGHT (LB/K)          DISTINGUISHING MARKS

________________________________________________________________________
CITY, STATE, AND COUNTRY ASSIGNED TO CONSUL GENERAL

________________________________________________________________________
ADDITIONAL TITLES

PLEASE ATTACH FOUR PASSPORT PHOTOS AND A COPY OF VALID ID, DRIVERS LICENSE, COPY OF PASSPORT, OR BIRTH CERTIFICATE TO THIS APPLICATION

Consul Generals are considered a more serious and demanding appointment.

Consul Generals may be required to enter into a relationship with the Conch Republic to issue Citizenship Passports for the Conch Republic in their resident city and country under a formal "Memorandum of Understanding".













OFFICE OF THE SECRETARY GENERAL

AFFIDAVIT OF

CONSUL GENERAL

THE UNDERSIGNED SOLEMNLY SWEARS
THAT THEY HAVE NEVER BEEN
CONVICTED OF A SERIOUS CRIME
INVOLVING LIFE OR PROPERTY, AND
THAT THEY ARE OF GOOD CHARACTER:

SWORN AND SUBSCRIBED TO:








____________________________________________________    _______/______/_______ SIGNATURE                        DATE













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