Instructions:

Please Print [Use Separate Sheet of Paper Where Necessary]. Please Submit with One Colour Passport Photograph, a Completed Application And One Troy Ounce Gold [Canadian Maple leaf Only] as Annual Bar Association Fee.

Upon Receipt of the foregoing and Approval by the Bar Association, You will Receive: (1) One Bar Card in the Form Appearing on the DOM Websites, (2) A Dominion of Melchizedek Bar Association Certificate Suitable for Framing Sealed By the Governor of the Bar Association and Bearing its Seal:

Surname:__________________________________________________

First Name:________________________________________________

Post Location:_____________________________________________________________

_________________________________________________________________________

City_______________________ Postal Code[____________]

Province/State______________________________________

Country___________________________________________

Telephone No.:________________________________ Fax. No.:_____________________________

E-Mail Location:______________________________

Melchizedek Passport Number:_____________________ Date of Issue:___________________________

Date of Expiration:_______________________

Place and Country of Nativity:__________________________________

Date of Nativity:______________________________

Gender:_____________________________________

Colour Hair:______________ Colour Eyes:________________ Height:_______ Weight:________

Profession:_____________________________________________________________________________

High School Attended:_________________________________________

Location:____________________________________________________

____________________________________________________________

Date of Graduation from High School:_____________________________

 

 

 

University of College Attended:__________________________________

(1) Location:_________________________________________________

____________________________________________________________

Date of Graduation:____________________________________________

Degrees Awarded:_____________________________________________

(2) Location:_________________________________________________

____________________________________________________________

Date of Graduation:____________________________________________

Degrees Awarded:_____________________________________________

List All Certificates of Competence [e.g. "licenses"] currently of previously held [i.e. lawyer, CPA, Financial Advisor, Chartered Accountant, Realtor, Estate Agent, etc.]

Agency:______________________________________________________

Location:_____________________________________________________

_____________________________________________________________

Certificate Number by Agency:____________________________________

Date of Issue:________________________________ Date of Expiration:___________________________

Agency:______________________________________________________

Location:_____________________________________________________

_____________________________________________________________

Certificate Number by Agency:____________________________________

Date of Issue:________________________________ Date of Expiration:___________________________

Have You Ever Been Convicted of a Felony of Misdemeanor involving a Violation of principles of Moral Turpitude? Yes______ No______

If Yes, provide date, sentencing authority, violation and sentence:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Provide the names of reputable individuals (not relatives) as personal, bank and professional referecens concerning your character:

Personal Reference:

Name:___________________________________________

Location:_________________________________________

_________________________________________________

Telephone Number:_________________________________

Fax Number:______________________________________

Professional Reference:

Name:___________________________________________

Location:_________________________________________

_________________________________________________

Telephone Number:_________________________________

Fax Number:______________________________________

Bank Reference:

Name:___________________________________________

Location:_________________________________________

_________________________________________________

Telephone Number:_________________________________

Fax Number:______________________________________

If you have not indicated that you hold a Juris Doctorate, Llb or Llm or other form of law degree or business degree, then please attach a statement stating the reasons you believe that you are qualified for admission with or without formal examination.

 

 

Asseveration Before the Most High God:

 

 

I, __________________________________________, solemnly asseverate I cannot make any oath whatsoever, nor can I testify other than an aye, aye or nay nay, for it is written:

"But I say to you, never swear; neither by heaven, because it is God's throne; Nor by the earth, for it is a stool under his feet; nor by Jerusalem, for it is the city of the great king. Neither shall you swear by your own head, because you cannot create it in a single black or white hair. But let your words be yes, yes, and no, no; for anything which adds to these is deception." Matthew 5:34-37.

"But above all things, my brethren, do not swear, neither by heaven, neither by earth, neither by any other oath; but let your words be yes, yes, and no, no, lest you fall under condemnation." James 5:12.

"These are the things that you shall do: Speak the truth everyone to his neighbor; execute the truth, justice and peace in your gates; And let none of your devise evil in your heart against his neighbor; and love no false oaths; for all these are things that I hate, says the LORD of hosts." Zechariah 8:17-17

"Therefore you must put away from you lying and speak the truth, every man with his neighbor; for we are members of one another." Ephesians 4:25.

 

to support first: the revealed Divine Law of the Most High God, to support second: the principles of "Peace and Righteousness" at all times as introduced by Melchizedek to Abraham, and finally to support third: the Constitution of the Dominion of Melchizedek [to the extent the Constitution or its application is not in contradiction to the foregoing revealed Divine Law of the Most High God and the principles of "Peace and Righteousness";.

I _______________________________ solemnly asseverate before the Most High God I shall faithfully discharge the duties of a lawyer, attorney and counselor at law with fidelity to the best of my knowledge and ability.

I, _______________________________ acknowledge this filed with the Office of the Governor. I further acknowledge that in the event I am accepted by this Application without formal written examination, I will obtain copies of the following documents and books:

 

"Commentaries on the Laws of England" by Sir William Blackstone

Facsimile Edition Vols I-IV, re-published by The University of

Chicago Press (Chicago 1969)

 

"The Criminal Jurisprudence of the Ancient Hebrews. Compiled

From the Talmud and other Rabbinical Writings, and Compared with

Roman and English Penal Jurisprudence" by S. Mendelsohn (Baltimore: 1891); and

 

"A Restatement of Rabbinic Civil Law" by Emanuel Quint Vols I-IX,

Published by Jerusalem Institute of Jewish Law Jason Aronson Inc.

(Northvale, New Jersey, 1990)

 

and thoroughly familiarize myself with the contents of the foregoing during the three month period following announcement that I have been accepted for admission to the Dominion of Melchizedek Bar Association. I understand I will be notified of the time and place of written examination within two months of receipt of this Application should it be decided upon review of this Application that written examination is necessary prior to my admission to the Dominion of Melchizedek Bar Association..

Finally, I ____________________________, understand the Dominion of Melchizedek, its ministers, officers and agencies can take no responsibility for the position of any government [secular or ecclesiastical] in regard to Dominion of Melchizedek Bar Association membership or any other of the DOM identification documents. I _____________________________, further understand that I have read the accompanying Dominion of Melchizedek Bar Association Act of 1997, and covenant and agree to be bound by its provisions at all times.

 

 

So be it. Amen. Amen.

 

 

 

[L.S.]_____________________________________________

Dated:______________________