[Ianescalante.ph] Implement ICON-ELECT Israelite Citizenship Intake Form

🔷 ICON-ELECT ISRAELITE CITIZENSHIP INTAKE FORM Government for Israelite Heritage Commonwealth Peace. Order. Covenant. — Psalms 105:15 Website: www.IconElect.org Email: IconElect24@gmail.com Phone: +1.813.421.1685 Mailing Address: 301 W. Platt Street #111, Tampa, FL 33606 SECTION I — APPLICANT IDENTIFICATION Legal Name (as shown on civil identification): [_] Covenant / Hebrew Name (if known): [_] Date of Birth: [____ / ____ / ______] Email Address: [_] Phone Number: [_] Current City / State / Country: [_] SECTION II — CITIZENSHIP CLASSIFICATION (Select ONE — required) ☐ Israelite Citizen (Paternal bloodline descent from the seed of Israel) ☐ Covenant Sojourner Citizen (Non-Israelite by blood who voluntarily cleaves to Yah’s covenant order and Israelite governance obligations) ☐ Mixed-Multitude Citizen (Non-Israelite participant aligned with Israelite governance structure but restricted from covenant inheritance and holy assembly authority) False classification or misrep