The Kingdom of Anzandria The enchanted garden of paradise. The center of magical wonders. Mercury Venus Earth Mars Jupiter Saturn Uranus Neptune Pluto King Annakia Wilborniti' The Kingdom of Anzandria Declaration of Independence Constitution Judicial System The Wilborniti' Administration Christian Council Temples Federal Reserve Credit Bereau Royal Military Royal Police Royal Space Fleet Cities in the Stars The Wilborniti' Galactic Alliance Universal Operations The Kingdom of ANZANDRIA The enchanted garden of paradise. The center of magical wonders. The Kingdom of Anzandria: (360)285-8027 _____________ The Kingdom of Anzandria Department of Citizenship Here you can obtain citizenship in The Kingdom of Anzandria Apply for a Job or Own a Business in The Kingdom of Anzandria Fill out the application below by pasting it to MS Word, filling out the specified information. Print and Fax it to our Citizenship Department and you will receive you approval decision via email, telephone, or by letter, which ever you perfer. The Kingdom of Anzandria Department of Citizenship Email: thekingdomofanzandria@yahoo.com Fax: (801) 504-2340 Good Luck THE KINGDOM OF ANZANDRIA CITIZENSHIP APPLICATION Applications are considered for credit without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or handicap. Name_______________________________________________________Date______________ Applying for:_______________________________________ Address___________________________________________________Phone #___________________ City_____________________State_____Zip__________Social Security #_______________________ DOB_________________Where are you a citizen now? ________________ Have you ever used another name, AKA, or alisas? [ ] No if [ ] Yes ____________________________ Have you applied for this card before? [ ] Yes [ ] No When?______Position applied for?_________________ EMPLOYMENT EXPERIENCE; Start with your present job or last job. Include military assignments and other volunteer activities. Exclude organizational names which indicate race, color, religion, sex, or national origin Employer 1__________________________________________________________________________ Address___________________________________City________________State_____Zip__________ Phone #________________Supervisors¡¯ Name_____________________________________________ Job Title______________________Reason for leaving_______________________________________ Dates of Employment: From_________To__________Salary or Hourly rate______________________ Employer 2__________________________________________________________________________ Address___________________________________City________________State_____Zip__________ Phone #________________Supervisors¡¯ Name_____________________________________________ Job Title______________________Reason for leaving_______________________________________ Dates of Employment: From_________To__________Salary or Hourly rate_____________________ Employer 3__________________________________________________________________________ Address___________________________________City________________State_____Zip__________ Phone #________________Supervisors¡¯ Name_____________________________________________ Job Title______________________Reason for leaving_______________________________________ Dates of Employment: From_________To__________Salary or Hourly rate______________________ EDUCATION Schools/Collages Attended: # Years Year Grad. Degree ____________________________________________________ _______ _______ ___________ ____________________________________________________ _______ _______ ___________ ____________________________________________________ _______ _______ ___________ Drivers License #_______________________________State__________Expiration_______________ Email Address: ______________________________________________________________________ Are you a veteran of the U.S. Military service? [ ] Yes [ ] No I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for credit as may be necessary in arriving at an credit decision. I understand that this application is not intended to be a contract of employment. In the event of credit approval, I understand that false or misleading information given on my application or interview may result in termination of my account. Signature___________________________________________________Date_____________________ For Personnel Department only Remarks____________________________________________________________________________ ___________________________________________________________________________________ __________________________________________Interview report by__________________________