There's much to see here. So, take your time, look around, and learn all there is to know about joining the Commonwealth of Ysra'el. You will only need to fill out this application and documents once. All documents will NOT need to be renewed. We hope you enjoy this adventure and take a moment to drop us a line. Caleb & Debi
1. Why Join the Commonwealth of Ysra’el- Form 116 ___________
2. Declaration of Ysra’el Independence-signed old name- Form 117 ____________
3. Benefits and Responsibilities-initial old name-Form 118 ____________
4. Books of the Covenant Law-Form 130 __________
5. a. Fill out COY Application-choose new name-Form 119
b. Apply for Wallet ID-with New name
c. Apply for Car Plates-with New name
d. Reference Affidavits attached-Form 120
6. Citizen Declaration for Commonwealth of Ysra’el - New name-Form 121
7. COY Affirmation of Allegiance - Form
7. Do you want to receive update Newsletters? Circle one: Y N (must have email address below)
You will also want to choose a new (preferably) Hebrew name:
For your surname choose what tribe you align yourself with: 1. Reuben, 2. Simeon, 3. Judah, 4. Issachar, 5. Zebulon, 6. Benyamin, 7. Naphtali, 8. Gad, 9. Asher, 10. Ephraim, 11. Manasseh, 12. Levi.
a. Family
_______________/_________________/____________________________/_________________
Man’s Given Name Family Name New Tribe Name New Given Name
_____________________________/_____________/__________/________________/________
Mailing Address City State Country Zip
_______________________/___________________/_____________/______________________
Email Telephone # Date of Birth Place of Birth
_________________________/_____________________________/________________________
Old SSN-Termination Date State Driver’s License-Termination Date Marriage License-Termination Date
________________________________________________________________________________________________________________________________________________________
Other Government Identification numbers – Termination Date
What work do you do to support you and your family? _______________________________________________________________________________
____________________________________________________________________________________________________________________________________
Are you willing to share your talents/skills/abilities with the Commonwealth of Ysra’el? Yes □ No □ If so, What? _________________________________________________________________________________
______________________________________________________________________________
____________________/___________________/__________________/__________________
Woman’s Given Name Family Name New Tribe Name New Given Name
(if married Tribe name should be the same name as husband.)
_____________________________/__________________/____________/________________
Email Telephone # Date of Birth Place of Birth
_________________________/_____________________________/_______________________
Old SSN-Termination Date State Driver’s License-Termination Date Marriage License-Termination Date
_________________________________________________________________________________
_______________________________________
Other Government Identification numbers – Termination Date
_________________/_________________/________________/__________________/______
1st Child’s Given Name Family Name New Given Name New Tribe Name Age
____________________/______________________________/___________________________
Old SSN-Termination Date State Driver’s License#-Termination Date Other Government ID numbers – Termination Date
____________________/__________________/________________/_________________/______
2nd Child’s Given Name Family Name New Given Name New Tribe Name Age
_____________________/_______________________________/_______________________
Old SSN-Termination Date State Driver’s License#-Termination Date Other Government ID numbers – Termination Date
_________________/__________________/________________/________________/________
3rd Child’s Given Name Family Name New Given Name New Tribe Name Age
____________________/________________________________/_______________________
Old SSN-Termination Date State Driver’s License#-Termination Date Other Government ID numbers – Termination Date
_________________/__________________/________________/_________________/______
4th Child’s Given Name Family Name New Given Name New Tribe Name Age
_____________________/______________________________/________________________
Old SSN-Termination Date State Driver’s License#-Termination Date Other Government ID numbers – Termination Date
___________________/__________________/______________/_________________/______
5th Child’s Given Name Family Name New Given Name New Tribe Name Age
_____________________/______________________________/________________________
Old SSN-Termination Date State Driver’s License#-Termination Date Other Government ID numbers – Termination Date
Attach another page if needed for more children .________________________________________________________________
Check if 2 Reference Affidavits per adult are attached to Application [ ] [ ]
b. Sojourning ID (16 and over) (Bio-metric identifiers)
__________________________/________________________/__________________/_________
1. COY ID Number Issued-Husband New Given Name New Tribe Name M/W Gender
___________/_________________/__________________/________________/_____________
Height Weight Eye Color Hair Color Year born
I want optional picture that I will provide: (circle one) Yes No
___________________________________/_______________________/____________________
1st Bio-metric identifier (i.e. mole on left cheek) 2nd Bio-metric Identifier 3rd Bio-metric Identifier
___________________________________________________
Autograph of Living Bearer
_______________________/_______________________/___________________/___________
2. Spouse COY ID Number Issued New Given Name New Tribe Name M/W Gender
___________/_________________/__________________/_________________/____________
Height Weight Eye Color Hair Color Year born
I want optional picture that I will provide: (circle one) Yes No
_________________________________/______________________/_____________________
1st Bio-metric identifier (i.e. mole on left cheek) 2nd Bio-metric Identifier 3rd Bio-metric Identifier
___________________________________________________
Autograph of Living Bearer
____________________________/_____________________/_________________/__________
3. Other child COY ID Number Issued New Given Name New Tribe Name M/W Gender
I want optional picture that I will provide: (circle one) Yes No
___________________________________/_____________________/______________________
1st Bio-metric identifier (i.e. mole on left cheek) 2nd Bio-metric Identifier 3rd Bio-metric Identifier
___________________________________________________
Autograph of Living Bearer
c. Vehicles (must be completely paid for before Plates can be issued to you). Your vehicle will be your own personal private property and does not belong to Commonwealth of Ysra’el.
1. Private (Vehicle) Property
________/____________/___________/__________/____________/__________/__________
Year Make Model Type Color #Door Fuel type
_____________________________________________
Manufacturer’s Serial Number
____________________________________________
ID Auto Plate Number Issued
2. Private Vehicle
_______/___________/___________/___________/____________/__________/____________
Year Make Model Type Color #Door Fuel type
______________________________________________________________________________
Manufacturer’s Serial Number
______________________________________________________________________________
ID Auto Plate Number Issued
3. Private Vehicle
_______/___________/___________/___________/____________/__________/____________
Year Make Model Type Color #Door Fuel type
______________________________________________________________________________
Manufacturer’s Serial Number
______________________________________________________________________________
ID Auto Plate Number Issued
4. Private Vehicle
_______/___________/___________/___________/____________/__________/____________
Year Make Model Type Color #Door Fuel type
______________________________________________________________________________
Manufacturer’s Serial Number
______________________________________________________________________________
ID Auto Plate Number Issued
5. Private Vehicle
_______/___________/___________/___________/____________/__________/____________
Year Make Model Type Color #Door Fuel type
______________________________________________________________________________
Manufacturer’s Serial Number
______________________________________________________________________________
ID Auto Plate Number Issued
REFERENCE AFFIDAVIT
(THIS IS ONLY A SAMPLE OF AFFIDAVIT OF WITNESS OF DWELLING UNDER YAHUAH AND OBEYING THE LAWFUL COVENENT TO THE BEST OF HIS/HER ABILITY.)
State of ____________________
County of __________________
City of_____________________
Phone #____________________
Know all men that I, a living being named __________________________(witness) have known ____________________(applicant) of the _________________(surname) family for a time period of ______________________. (days, months, years) In that time I have witnessed his/her personal way of life and convictions to follow after Yahuah Elohim of the Scriptures. My involvement with _________________(applicant) has extended to many facets of life, including_________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________. His/her lifestyle would be one of an observer of the commandments, statutes and judgments of Yahuah the Elohim of the Scriptures. I have seen evidence of him/her relying on Yah and striving to obey the Lawful Covenent of Yahuah his Elohim. His appearance, the last time I saw him/her on _____________ (date) he/she had_________________________ ___________________(physical description) _______________________ (applicant) today is a living man/woman whose flesh lives and blood flows who is of about _____________ (years) of age, about _____________(height) tall. Having witnessed his/her lifestyle I believe _____________________(applicant) is entitled to all the benefits of the original covenant Yahuah has provided for those who walk after Him and observe His commandments, statutes and judgments.
______________________________ ___________________________________
Printed Name Autograph
The forgoing instrument was acknowledged before me this the______day of the _______month in the year _______by
________________________________________(Sign) Printed Name:________________________________
WITNESS
___________________________ , Witness _____________________________, Witness
Declaration
For the
Commonwealth of Ysra’el
I, ___________________________________________________(new name), am hereby declaring and recognizing that I belong to Yahuah by His son Yahusha my Messiah and am a Member of the Commonwealth of Ysra’el. I take my place in the Commonwealth of Ysra’el whose flag is recognized as seen above.
The Torah is my law and no other is to take precedence over it. It stands and will always be the one and only true law for Ysra’el. I hereby peacefully renounce any citizenship, membership or enrollment that is in opposition or contrary to the covenant laws of my King, Yahuah /Yahusha the creator of all things and living beings above, beneath and on the earth.
Thus sayeth myself,
_________________________________________________
Sign/Autograph
Dated_________________
Witnessed and accepted by: _________________________________________________
COY Scribe/Notary:
Dated__________________________________SEAL____________________________
Commonwealth of Ysra'el Flag
Commonwealth of Ysra’el
Affirmation of Allegiance
The affirmation of allegiance is:
"I hereby declare, and affirm, that I ______________________________________________(old name) absolutely and entirely renounce and abjure all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty of whom or which I have been a subject or citizen, specifically to the United Nations and its subject Corporate Nation or State ___________________, ____________________ in all its forms and names; that I will support and defend the Covenant of the Law and the Commonwealth of Ysra’el against all enemies, foreign and domestic; that I will bear true faith and allegiance to Yahuah our King; that I will stand fast and protect on behalf of the Commonwealth of Ysra’el when required; that I will perform protective service as part of the Commonwealth of Ysra’el when circumstances require such; that I will perform work of national importance under direction of the Melchizedek, Judges and/or Priests as a leader when needed; that I will pursue peace in all my relations with others; be it kings, states or men and women as far as practicable. I hereby change my name to _________________________________________________ to reflect my new change of status to a Commonwealth of Ysra’el member. I take this obligation freely without threat, duress, coercion and without any mental reservation or purpose of evasion; as Yahuah is my witness.”
Autograph _____________________________________
Accepted this _________day of the _________month, 60_________
By____________________________________________________
SEAL
Seal of the Commonwealth of Ysra’el
COY Flag and Motto: משניים אחד which means "From Two, One."
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