Citizen Application Form

Individuals interested in becoming a citizen of the Empire of Adammia should fill in the following application form. Do NOT apply for full citizenship unless you are a resident of Adammic territory. If you do not live in the Empire, please apply for honourary citizenship.

By submitting data via this form, you agree that the Imperial Government may store and use this data for the duration of your citizenship for the purposes of upholding Adammic law and the compilation of anonymous statistics. We do not share your data with any person or organisation outside the government, and we try to be as fully GDPR-compliant as possible.

Please allow anywhere between 0-4 weeks for your application to be processed. Please note that these applications are processed by a human rather than a computer, and as such we may employ common sense; we will reject any applications found to contain lies, or indeed outright garbage.
First Name *
Please enter your first name.
Your answer
Surname *
Please enter your surname / family name / last name.
Your answer
Middle Names
Please enter all the middle names you use, if any.
Your answer
Date of Birth *
Please enter the exact date you were born.
Gender *
Please enter the gender by which you identify.
Changes of gender
Is the gender you currently identify as different from the biological sex you were born with?
Citizenship Type *
Please enter the type of citizenship you wish to apply for. Individuals who do not live on Adammic land or who are not related to a full citizen should apply for honourary citizenship. Remember that full citizens are expected to follow all our laws.
Home macronation *
Please enter the sovereign state from which you originate (e.g. Spain, the UK, etc.)
Your answer
Home micronation
If you already live in a micronation, including the Empire, please enter its name here. Otherwise, leave this box empty.
Your answer
Please enter your general location within your home macronation (e.g. Florida, the North-East of England, etc.). This box is optional.
Your answer
Please enter some details about your ethnic background (e.g. White British, African American, etc.). This box is optional.
Your answer
Please enter your religious stance and religion, if any (e.g. Atheism, Catholicism, Islam, None etc.). This box is optional.
Your answer
Email address *
Please enter an email address for us to use to contact you. We will use this to let you know about your application and to get in touch about your citizenship status if we have to. If you don't have an email, please enter another suitable form of communication.
Your answer
Confirmation - Please agree to the conditions below. Your application will NOT be accepted if you do not tick the box. *
I, the applicant citizen, hereby declare that all of the information provided above is true to the best of my knowledge. I give consent for the Imperial Government to store and use this data for the purposes described above.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.