( ) Click here if you agree to the above P10K Mission, the P10K Non-Violent Democratic Demonstration Clause and the P10K Media Clause.

Full Disclosure

2. Name, Contact Information, Nationality & Aliases

Truth is the critical first step in the three step process of Truth Justice & Peace; therefore it is essential to the success of the P10K action that every participant be 100% truthful. By registering you are legally agreeing to the terms of the P10K Registration Form that legally requires you to fully and honestly disclose your identity which includes any and all aliases that you have used. 

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Full legal name

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Address

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Phone contact(s) email(s)

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Nationality/Passport Passport #

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1. Also known as (aka)

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2. Also known as (aka)

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If you have more than two aliases then you are required to reveal these names as well as in the 'other notes' section of this registration form. Any breach in revealing aliases may result in P10K Co-ordinators publishing your photograph and known names with a description of the areas of our action that you had access to; this will be done in order to prevent dishonest individuals from infiltrating other humane endeavours, and otherwise compromising the movement for Truth Justice & Peace. 

Government Employment or Association

3. In addition to revealing any aliases we require all registrants to fully disclose any and all relationships they have with nation/state governments. Specifically you must disclose if you have been or are now employed by a nation/state, have ever been an independent contractor for a nation/state, have voluntarily taken an oath of allegiance to a nation/state or monarch. If yes to any of these questions you are required to give the details below (if more space is required please use the opposite side of this form).

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Intelligence Employment or Association

4. Have you ever, or are you now, in the service of any nation/state intelligence service/agency in any way whatsoever? Specifically but not limited to, the American CIA/FBI/SS/NSA, British MI-5/MI-6/SIS, Australian ASIO/ASIS/DSD, Israeli Mossad/Shin Bet, Belgian SV, Dutch SE/SGRS/AIVD, French ADIV/DST/DGSE, Canadian CSIS/CSE, Danish PET/FE, German BND, Finnish Supo, Greek NIS, Italian SISDE/SISMI, New Zealand GCSB/SIS, Norwegian PST, Russian FSB, South African NIA, Spanish DESID/CNI, Swedish SÄPO, Swiss SND, Turkish MIT/JITEM? If yes list the agency or agencies with whom you have worked or associated yourself (if more space is required please use the opposite side of this form).

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If you fail to reveal the truth with regard to this last question, then you have committed fraud and your name and photograph will be aggressively published with details of the access you had within the P10K Action along with all other information that would be useful to exposing you as a fraudster. 

Military Service

5. Have you ever, or are you now, in the service of any nation/state military in any way whatsoever? If yes list any and all service you have rendered with the date(s) that all such service was terminated if applicable (if more space is required please use the opposite side of this form).

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Secret Societies

6. Are you a member of any secret society (such as George W. Bush’s & John Kerry’s membership with the Skull & Bones Society)? If yes list any and all secret societies that you have been a member of at anytime in your life? In addition, list any and all secret societies that you have had any association with whatsoever and in what capacity (if more space is required please use the opposite side of this form).

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Affirmation

7. Through this legal registration form I (print name)__________________________

affirm that I have fully understood all questions on this registration form and that I have been truthful in all information that I have submitted. I further acknowledge that my participation within the P10K Action relies on the truthfulness of my registration form and that I will be removed and potentially publicly exposed if I have lied in anyway whatsoever on this form.

I (print name)____________________________________ reject any and all forms of violence as a P10K Force participant and hereby declare that I will under no circumstances short of absolute and reasonably justified self defence self defence resort to any form of violence.