[b]Nation in the South Pacific:[/b] [nation]Citrin[/nation]
[b]Are you, or have you ever been a member of the group known as "The Empire"? If yes, please provide details:[/b]
[b]Have you have previously been refused citizenship/legislator status in the South Pacific? If yes, please provide details[/b]
[b]Have you been convicted or otherwise had a court case brought against you in a court of law in or outside the South Pacific? If yes, please provide details:[/b]
[b]Declaration[/b]
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[*]I will abide by and uphold the Charter of the South Pacific and all its laws.
[*]I understand that my application may be subjected to a security review, and that I have provided all necessary information.
[*]In undertaking the duties of a Legislator, I will comply the responsibilities that come with the position.
[*]I certify that all information provided above is true to the best of my knowledge, and is neither incomplete nor deceptive.
[*]Should I fail to meet the requirements to be granted Legislator status, I understand that my application may be denied or my Legislator status revoked at the discretion of the Chair of the Assembly.
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[b]I, [Citrin], in submitting this application for Legislator status, do affirm and subscribe to the conditions set forth in the Declaration above.[/b]