IC3 BLACK PASSPORT-FIRST BLACK NATION-BLACK CITIZEN -BLACK STATE-BLACK BANK

IC3 Black Passport Application Form

Welcome to the African Diaspora Equity and Justice Alliance (ADEJA) Passport Application Process.

Please read the following instructions carefully before filling out the form.

Instructions:

1. Fill out all sections of the form accurately and completely.
2. Ensure that all information provided is truthful and verifiable.
3. Attach any required documents or evidence to support your application.
4. Review your application before submission to avoid errors or omissions.
5. Submit your completed application along with any supporting documents to the designated address or email provided.

Section 1: Personal Information

Full Name:
Date of Birth:
Place of Birth:
Nationality (Current):
Nationality (Desired):
Gender:
Marital Status:
Occupation:
Email Address:
Contact Number:

Section 2: Identity and Citizenship

1. Are you classified as IC3 Black under the race and ethnicity standards established by the UK Government? (Yes/No)
2. Do you possess any official documents verifying your IC3 Black classification? (e.g., Passport, ID Card) (Yes/No)
   If yes, please attach a copy.
3. Have you ever held citizenship in any other country? (Yes/No)
   If yes, please provide details.

Section 3: Ancestry and Lineage

1. Provide details of your ancestral lineage, particularly related to IC3 Black heritage.
2. Are you able to trace your lineage to IC3 Black individuals? (Yes/No)
   If yes, please provide details or attach supporting documents.

Section 4: Appearance and Visual Ethnicity

1. Describe any physical characteristics or features that align with IC3 Black phenotype.
2. Have you faced challenges or discrimination based on your appearance or visual ethnicity? (Yes/No)
   If yes, please provide details.

Section 5: Actions Towards Black Betterment

1. Outline any actions or contributions you have made towards the betterment of the IC3 Black community.
2. Are you affiliated with any organizations or initiatives dedicated to IC3 Black empowerment or reparatory justice? (Yes/No)
   If yes, please provide details.

Section 6: Additional Information

1. Are there any additional details or information you would like to provide regarding your application?
2. Do you have any specific skills, expertise, or qualifications relevant to the goals of ADEJA? (Yes/No)
   If yes, please specify.

Section 7: Declaration

I hereby declare that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false statements or misrepresentations may result in the rejection of my application.

Applicant's Signature: ___________________________

Date: _______________

Submission Instructions:

Please submit your completed application form along with any required documents to:

[Designated Address or Email]

Note: Applicants will be notified regarding the status of their application and any further steps required in the process.

Thank you for your interest in obtaining an IC3 Black Passport for the new international Black entity. We appreciate your commitment to the goals of ADEJA and look forward to reviewing your application.

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