CREATE YOUR OWN NATION - Amazon S3...CREATE YOUR OWN NATION Reclaim Your Sovereignty by Creating...

7/12/2016 CREATE YOUR OWN NATION

https://docs.google.com/forms/u/0/d/1us7OcZuYPZeKUqzKeqRVeuM4tTcLMx3QSQg6U7p4wT0/edit 1/14

CREATE YOUR OWN NATIONReclaim Your Sovereignty by Creating Your Own Decentralized Borderless Voluntary Nation (DBVN).

To create Your Nation on BITNATION you will need to think through your objectives and governance modalities. This form provides both guidance and a summary of the basic information required to setup Your Nation. Right now the form is for gathering initial feedback. Once our website application is live, you'll be able to register Your Nation on BITNATION using the final version of the application form. After registering, you'll gain access to technical resources to create Your Nation, including DVBN code to run Your Nation on the Ethereum blockchain, tutorials on setting up your nation and access to a community of Nation Founders and developers, among other goodies.

We understand that Nations evolve. We will ensure that once you've created Your Nation's profile on BITNATION you'll be able to modify the information you've entered as your ideas develop and you learn more about Your Nation and its citizens needs.

When our Pangea software reaches Beta stage, you'll be able to transfer Your Nation onto the Pangea "Blockchain Jurisdiction", a DIY Governance Client that will enable you to operationalise Your Nation on a smart contract powered, peertopeer and endtoend encrypted platform.

The form will take about an hour to fillin. If you want to prepare your information in advance, you can access a pdf version here.

Note: the term DBVN first appeared in Bitnation's White Paper of October 2014: https://docs.google.com/document/d/1r_VqWrKQw07E06XAtMv_cZnFyBZma4PFTBJpM5GuzbA/edit

* Required

1. Name of Nation: *

2. Short Description of Your Nation: *

https://www.google.com/url?q=https://docs.google.com/document/d/1r_VqWrKQw07E06XAtMv_cZnFyBZma4PFTBJpM5GuzbA/edit&sa=D&ust=1468329147564000&usg=AFQjCNHGy8kOz2-QGevA1TwauN3KhSxq2w



3. Does Your Nation Already Exist? *Mark only one oval.

Yes

No

Other:

4. Website/ Facebook Page/ Twitter AccountAddress: *

5. Is Your Nation One or Several of the Following: *Check all that apply.

Decentralized/ Distributed

PeertoPeer

Voluntary OptIn Membership and Services

Encrypted (if software based)

A Governance Service Provider (e.g. law, security, etc)

Open Source

6. Background/ History of Your Nation (What Motivates You to Create this Nation?)

7. Longterm Aim(s) of Your Nation: *

8. Name of Founder(s): *



9. Short Description of Founder/ Founding Team Members Background and Competencies: *

10. Link to Founder/ Founding Team Members LinkedIn Profile/ AngelList Profile/ TwitterAccount/ Facebook Profile or similar

11. In the Future, Will Your Nation's Team Comprise?Check all that apply.

Volunteers

Employees

Citizen Contributions

Contractors/ Freelancers/ Consultants

Other:

12. Official Language(s):

13. Link to Logo/ Flag/ Coat of Arms:

14. Link to National Anthem:

Organizational Form

Illustration Courtesy of Forbes Magazine.



15. Is Your Nation Virtual or Geographical *Mark only one oval.

Virtual

Geographical

Both

Other:

16. If Your Nation is Geographical, Please Describe Your Nation's Coverage, and theReasoning Behind this Definition (i.e. Does Your Nation Own Land or FloatingInfrastructure or is it Targeting People in a Specific Geographical Zone?)



17. What Legal Code is Your Nation Using? *Check all that apply.

None

Multiple (Competing) Legal Codes

Transnational/ Supranational Law (EU, UN, etc)

UNIDROIT Principles

Computer Code

Common Law

Civil Law

Other:

18. Describe Your Legal Code in Detail

19. Link to Your Legal Code

20. What Jurisdiction Does Your Nation Use? *Check all that apply.

Bitnation Pangea

Other Blockchain Jurisdiction (i.e. a specific blockchain governed by code)

National or State Jurisdiction

International Jurisdiction

Other:

21. Provide a Brief Explanation for Your Choice of Jurisdiction:

22. What Law Enforcement Mechanisms do You Use?Check all that apply.

ID & Reputation

Physical & Digital Private or Cooperative Security

Nation State Law Enforcement

International Law Enforcement (if/ when feasible)

Other:



23. Do You Have a Constitution? *Mark only one oval.

Yes

No

Not yet

Other:

24. Link to Your Constitution:

25. Is Your Constitution on the Blockchain? IfYes, which Blockchain?

26. Blockchain Address of Your Constitution?

27. What Decision Making Process Do You Use? *Check all that apply.

Democracy

Holocracy

Autocracy

Meritocracy

Theocracy

Other:

28. Are You Using a Specific Software or Methodto make Decisions? (Such as Backfeed,Colony, consider.it, etc.)?

29. What "Incorporation" Form Do You Use? *Check all that apply.

Incorporated ForProfit in a Nation State Jurisdiction

Incorporated NonProfit in a Nation State Jurisdiction

Blockchain incorporated Decentralized Autonomous Organization (DAO)

Blockchain incorporated Decentralized Borderless Voluntary Nation (DBVN)

None

Other:

30. Add Incorporation/Registration Number orBlockchain Address for Your Nation:

https://www.google.com/url?q=http://consider.it&sa=D&ust=1468329147568000&usg=AFQjCNG9F9v9YqQwxdTzfJ9dzes784gkTA



31. Are You Planning to Seek Diplomatic Recognition of Your Nation as a Sovereign Entity? *Mark only one oval.

Yes

No

Other:

32. Are You Planning to Establish Formal Relationships with Legacy Entities (such as NationStates & Transnational Organisations)? Please Describe these Entities and the Objectiveof Engagement. *

Governance Services

33. What Type of Governance Services do You Offer Your Citizens? (See Graph Above forDescription of Categories) *Check all that apply.

Legal Services

Insurance Services

Social Services

Security Services

Diplomatic Services

Physical Residency

Other:



34. Provide an Outline Description of Your Services: *

35. What is Your Core Service or Unique SellingPoint (USP)? *

36. What Sets Your Core Service Apart From Other Service Providers?

37. Please Describe Your Core Service in Detail *

38. What is Your Timeline for Providing Your Core Service? *Mark only one oval.

We are already providing them (or some of them)

Within one year

25 years

Other:

39. Will the Majority of Your Services be Provided inHouse, or through Subcontractors?Please Describe which Services You will Provide Yourself, and which Services will beOutsourced. *



40. Can NonCitizens Use Your Services? *Mark only one oval.

Yes

No

Other:

41. Do You Offer Cultural/Religious or Geographical 'Identity' with Your Nation? If Yes, PleaseDescribe. *

Financial Model

42. Is Your Nation ForProfit or NonProfit? *Mark only one oval.

ForProfit

NonProfit

Other:



43. What Currencies Will Your Nation Use? *Check all that apply.

Bitcoin

Ether

Other Altcoins

Fiat (Pound, Yen, Euro, Dollar, etc)

Precious Metals (Gold, Silver, etc)

Other:

44. Will Your Nation Have its Own Currency? *Mark only one oval.

Yes

No

Other:

45. Will Your Nation Have Other Forms of Fungible Assets? *Check all that apply.

Traditional Stock

Cryptoequity

Membership Token

Voting Token

Other:

46. If Yes, Please Describe Additional Ownership Asset:

47. What Type of Revenue Model Will Your Nation Have? *Check all that apply.

Taxation

Membership Fee

Transaction Fees

Selling Governance Services Directly To Your Citizens

Selling Governance Services To Other Entities (Governments, Companies, etc)

Donations

Cryptocurrency Mining

Licensing the Use of Your Nation's Software

Sale of Branded SpinOff Products (tshirts, mugs, etc)

Branded Events

Other:



48. How Will Your Nation's Revenues be Distributed? *Check all that apply.

To Founders

To Share Holders/ Equity Holders/ Token Holders

To Contributors

To Citizens

Other:

49. Where will Your Nation's Revenue be Stored? *Check all that apply.

Bank Account

Cryptocurrency Wallet

Multisignature Cryptocurrency Wallet

Other:

50. Additional Comments on the Revenue Model or Distribution Model (e.g. AccountabilityMethod)?

51. Does Your Nation have any "Natural Resources" at its disposal (e.g. computing power,precious metals, renewable energy, other)? If Yes, Please Describe what they are, and howthey're being exploited to benefit Your Nation. *

52. Does Your Nation have Other Resources which can Generate Revenue (e.g. TechnicalKnowHow, Community Reach, etc.). If Yes, How are You Planning to Leverage theseResources? *

Citizens



53. What Type of People Do You Want as Citizens of Your Nation? Be as Specific as Possible. *

54. Are their Specific Entry Requirements to Become a Citizen of Your Nation? If Yes, ListBelow *

55. Assuming Someone Meets Your Nation'sEntry Requirements, How Do They Become aCitizen? *

56. Do Citizens Have any Ongoing Obligations to Your Nation? If so, Please Outline thoseObligations with as much Clarity and Detail as Possible. *

57. Can Your Citizens also be Citizens of Other Nations? *Mark only one oval.

Yes

No

Other:



58. How Can a Citizen Leave Your Nation and How Can Your Nation Withdraw a Transgressor'sCitizenship? *

Technology

59. Will Your Nation be Powered by the Blockchain Technology? *Mark only one oval.

Yes

No

In parts

Other:

60. If Yes, Which Blockchain(s)?

61. What Blockchain Specific Elements will Your Nation Employ?Check all that apply.

ID/Reputation

Voting/ Polling

Dispute Resolution

Cryptocurrency

Smart Contracts

Other:



Powered by

62. Will Your Nation Develop Its Own Software? *Mark only one oval.

Yes

No

Other:

63. If Yes, Please Describe the Software:

64. Link to White Paper, Development Plan, orGitHub Repository:

Contact

65. Your Email Address for Updates on NationBuilding Resources, and the Status of YourRegistration. (Promise, no spam!) *

https://www.google.com/forms/about/?utm_source=product&utm_medium=forms_logo&utm_campaign=forms

CREATE YOUR OWN NATION - Amazon S3...CREATE YOUR OWN NATION Reclaim Your Sovereignty by Creating...

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