Institute of Political Science and Diplomacy
MEMBERSHIP APPLICATION 2001-2002
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Please complete, save and send this application to mfa_southernsea@hotmail.com. Please type at
the "Subject" field of your e-mail client "To IPD" in order your application to be delivered to the 
IPD Admissions Department.
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FULL FORMAL NAME OF MICRONATION:
INFORMAL/2nd NAME OF MICRONATION:
FOUNDER:
ORIGINAL LOCATION (COUNTRY):
FOUNDED at DATE (MM/YY):
OFFICIAL LANGUAGE:
OTHER LANGUAGES:
RELIGIONS:
WEB SITE ADDRESS:
E-MAIL ADDRESS:
NAME OF REPRESENTATIVE AUTHORITY:
E-MAIL OF REPRESENTATIVE AUTHORITY:
WEB SITE OF OFFICE/MINISTRY/DEPARTMENT OF FOREIGN AFFAIRS:
MINISTER OF FOREIGN AFFAIRS:

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HEAD OF STATE:
TYPE OF POLITICAL SYSTEM:
IF DEMOCRACY NAME OF PRIME MINISTER/PRESIDENT:
IF DEMOCRACY NUMBER OF PARLIAMENT MEMBERS:
IF DEMOCRACY NUMBER OF PARTIES:
IF OTHER POLITICAL SYSTEM PLEASE DESCRIBE BRIEFLY:




YEARS IN POWER (CURRENT GOVERMENT/KING/OR OTHER AUTHORITY):
EXPECTED DATE OF ELECTIONS:
LAST ELECTION'S WINER:
POPULATION:
COUNTRIES REPRESENTED IN POPULATION:
NEW CITIZENSHIP RATE (APPLICATION/MONTH):

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MEMBERSHIP IN OTHER INTERMICRONATIONAL ORGANIZATIONS (YES/NO):
IF YES PLEASE NAME THEM:
NUMBER OF MUTUAL RECOGNITION TREATIES:
NUMBER OF ALLIED MICRONATIONS:
NAME OF ENEMY MICRONATIONS:
OTHER KIND OF TREATIES SINGNED:

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PLEASE DESCRIBE ABOVE THE GOALS OF YOUR GOVERNMENT:




PLEASE DESCRIBE ABOVE THE PRINCIPLES OF YOUR MICRONATION'S FOUNDATION:



DOES YOUR MICRONATION EXPECT MACRO-RECOGNITION (YES/NO):

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ECONOMIC AUTHORITIES:
MINISTER/OFFICER OF ECONOMY:
CURRENCY:
2000 GDP (Gross Domestic Product):
2000 NI (National Income):
NAME OF CENTRAL BANK:
IF NO CENTRAL BANK, DO YOU WISH TO GET INFORMATION ON INTERMICRONATIONAL 
BANKS/FINANCIAL INSTITUTIONS (YES/NO):
(Note that IPD does not request any kind of fees. The above data is collected for statistical purposes only)

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WOULD YOU LIKE TO RECEIVE THE ANNUAL REPORT ON MICRONALISM (YES/NO):
WOULD YOU LIKE TO TAKE PART IN THE ORGANIZATION OF ONLINE FORUMS (YES/NO):
DO YOU ACCEPT THE IPD CHARTER OF LAWS AND ETHICS (YES/NO):

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I REPRESENT [micronation name], AND I DECLARE THAT ALL OF THE ABOVE INFORMATION
IS TRUE AS FAR AS I KNOW. DATE [date], [your name].

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