Verification | Reparationsclaim

Afro-Descendant Verification Application

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You are at least 18 years old. You are a natural descendant of ancestor(s) or parent(s) who:

Were forcibly dispossessed of your homeland North America.

Were bought and sold for the purpose of enslavement.

Have experienced, through force, the loss of mother tongue, culture and religion

Were subjected to slavery

Were subjected to forced mixed breeding and rape

Have experienced racial discrimination due to lost ties from their original identity

First Name

Middle

Last Name

Date of birth

Phone

Email

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Sex:

Male

Female

Other

Hair color

Upload a picture of yourself holding your ID next to you

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Your Signature