Passport Application

- Please allow time to complete this application in it's entirety. You will not be able to save your progress.

- Please do not purchase ($150 (CBD) or $75 (USD) a Passport Card without first receiving a                                 confirmation code. A Code is required to purchase a passport.

- Please be aware, Boshkan passports are only recognized in Boshka at this time. Trying to travel out side of    Boshka with a Boshka passport could result in Federal fines and/or prison.

Gender you identify with
Are you now or have you ever been in the last four (4) years an inmate of a penitentiary, jail, reformatory or prison?
... on probation?
... on parole?
In the past three (3) years, have you been convicted of an indictable offence (crime)?
Are you now charged with an indictable offence (crime)?
Are you now, or have you ever been under a removal order (have you been asked by Boshkan officials to leave Boshka?)
Are you now under investigation for or charged with a war crime or crime against humanity or have you ever been convicted of a war crime or a crime against humanity?
In the past five (5) years, have you had Boshkan citizenship which has been taken away (revoked)?
eSignature and Authorization

By eSigning you are agreeing to the following:

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  1. I understand the contents of this form.

  2. I declare that the information provided is true, correct and complete.

  3. I understand that if I make a false declaration, or fail to disclose all information material to my application, I could be fined up to $2,500.00 CBD and/or prison.

  4. I agree to a full and complete background check.

eSignature:

In accordance with Federal civil rights law and Citizenship and Immigration Boshka (CIB) civil rights regulations and policies, CIB, its Agencies, offices, and employees, and institutions participating in or administering CIB programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by CIB (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.