Nation-State Recognition Declaration Form
Please complete the Nation-State Recognition Declaration Form to formally state your recognition of the specified nation-state.
Full Name
*
First Name
Last Name
Organization or Institution Name
*
Official Title or Role
*
Country of Declarant
*
Please Select
United States
United Kingdom
Canada
Australia
Germany
France
India
Japan
Other
Email Address
*
example@example.com
Nation-State Being Recognized
*
Date of Declaration
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Declaration Statement
*
Signature
*
Submit Declaration
Submit Declaration
Should be Empty: