Date of Birth:*
Place of Origin:*
Please enter any medical conditions you are currently experiencing.
Do you have any heart condition(s)?*
Do you have Asthma or any other respiratory problem(s)?*
Have you been imprisoned or incarcerated for a Criminal Offense?*
If yes, how long were you sentenced to?*
(( Please paste the link to a cropped screenshot of your /licenses. Using Google will help if you don't understand. Do not include any
Please include a link to a screenshot of your /stats without [img] tags.
Past RP Experience:*
(( OOC Requirements Check ))
How much time do you play a day?*
5 - 10 hours
Past names and alternative accounts:*
Please list all of your past names used in-game as well as your alternative accounts.
Have you read the SANG Handbook?*