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PHOTOPHOTO

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one photo here

NSK STATE PASSPORT APPLICATION FORM

1. Surname or family names:

2. First name:

3. Day of birth (day, month, year):

4. Place of birth (City, Country):

Permanent residence:

5. Street (including appartment No.):

6. City:

7. Province and postal:

8. Country:

9. Profession:

10. Home telephone No.:

11. Business telephone No.:

12. E-mail:

13. Sex: Female Male

14. Blood group: 15. Colour of hair: 16. Colour of eyes: 17. Height:

18. Previous/parallel citizenship:

19. Are you or have you been a member of any particular political or art group or organisation? If yes, name them:

Send the application form, together with two photographs, to the following address:NSK INFORMATION CENTER, P.P. 101, SI-1001 Ljubljana, Slovenia, NSK.

Day, month, year: Passport No.:Issued by:

FOR OFFICIAL USE ONLY (DO NOT WRITE IN THIS SPACE)Passport issued

Date of application: Signature:

I ____________________________________________ being of sound mind and body, hereby declare that the information provided above is true and correct. By signing this form and becoming a passport bearer and citizen of NSK I commit myself to the principle that I will not abuse document for any criminal, ideological, artistic, religious or political purpose not in compliance with the principles of NSK, or which would otherwhise threaten its reputation and good name.

We ask for your permision to use your NSK passport Application Form for all kinds of artistic projects and public use without limitation in time, territory and scope.

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