New Utopia Crest THE PRINCIPALITY OF NEW UTOPIA

DEPARTMENT OF NEW CITIZEN NOMINEES

CITIZENSHIP NOMINEE INFORMATION
IMPORTANT: Read instructions carefully before completing the Nominee Form
HOW TO COMPLETE NOMINEE FORM
1. All sections of this form must be completed by all Nominees. The form should be clearly written in the nominee's own handwriting using block Capitals.
2. Additional sheets of paper may be used if the space provided on the form is insufficient. Indicate which section(s) is/are being answered on the additional sheet(s) of paper.
3. Requirements:
a) Photographs. Four copies of a recent photograph of the Nominee must be included with the Nominee Form. These photographs must be taken full face without hat, and the photographs must not be mounted. The size of the photographs must be standard passport size (not be more than 2 inches x 2 inches.) The photographs must be printed on normal thin photographic paper and must not be glazed on the reverse side.
4. Documents to be produced:
a) Four copies of recent photographs.
b) Photocopy of the current passport or Nominee's birth certificate.
N.B.: All sections must be translated into English.
Mail To: Voice Phone:
The Principality of New Utopia      (918) 712-9980
9441 East 31st. Street, Suite 160 FAX:
Tulsa, Oklahoma 74145 U.S.A.      (918) 438-2611

NOMINEE
Given Name  ___________________________________

Family Name ___________________________________

Nominee's Photograph
Picture Block 2X2