APPLY HERE FOR MEMBERSHIP IN THE DOM BAR ASSOCIATION
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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:
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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:______________________
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