BOARD OF ADMISSION

Knights of Malta
Sovereign Order of Saint John
of Jerusalem
Federation of the Autonomous Priories

Grand Magisterial House

BOARD OF ADMISSION

APPLICATION FORM FOR POSTULANTS

THE QUESTIONS MARKED WITH * ARE OPTIONAL TO ANSWER

Surname (As in National Passport)

First Name (As in National Passport)

Middle Name (As in National Passport)

Other Surnames/ previous Surnames (If any)

Sex (Male / Female)

Height (in cm)

Color of eyes

Maiden Name

Color of hair

Size (S-M-L-XL)

Father’s Name (Surname/First Name)

Mother’s Name (Surname/First Name)

Place of Birth (City/Country)

Date of Birth (DD-Month-YYYY)

Passport Number issued by Country of Residence

List all countries and organizations that have ever issued you a passport

Nationality of origin

Citizenship at Birth

Home Address (Include Apartment Number, Street, City, Postal Code, Country)

Home Telephone Number (inc. Country Code)*

Fax Number (inc. Country Code)*

Business Phone Number (inc. Country Code)

Business Fax Number (inc. Country Code)

Mobile / Cell Number (inc. Country Code)

Pager Number (inc. Country Code)*

MSN ID*

Home E-mail Address*

Business E-mail Address

SKYPE ID*

Marital Status*

Education ( High school, University, PhD, etc)

Language skills

Profession

Present Occupation (E.g. Manager, Diplomat, Retired, Student, etc)

Name and Address of Present Employer or School

Spouse’s Full Name (Even if Divorced or Separated, Include Maiden Name)*

Spouse’s Date of Birth (DD-Month-YYYY)*

Spouse’s Education*

Profession*

Present Occupation (E.g. Manager, Diplomat, Retired, Student, etc)*

Spouse’s Name and Address of Present Employer or School*

Fax Number (inc. Country Code)*

Business Phone Number (inc. Country Code)*

Business Fax Number (inc. Country Code)*

Mobile / Cell Number (inc. Country Code)*

Pager Number (inc. Country Code)*

MSN ID*

Home E-mail Address*

Business E-mail Address*

SKYPE ID*

Data of minor Children (Surname / First name / Date of Birth)

Data of Adult Children (Surname / First name / Date of Birth)*

Name and contact address of next of kin to be contacted by the Ministry of Home Affairs in case of emergency

Who is the Knight / Dame that recommends you as Postulant ( name, rank, position in KMFAP and country of residence )?

Have you ever been arrested for any offense or crime, even though subject of pardon, amnesty or other similar legal action?

Have you ever lost a passport or had one stolen?

List your former and present affiliation to any professional, social, and charitable organization

Do you have any special skills or training including firearms, explosives, nuclear, biological, or chemical experience that might be of use in case of humanitarian emergency operations? (If yes, please explain)

Have you ever performed military services?

Have you ever been in armed conflicts, either as participant or victim?

List your high decorations and respective ranks

List membership and respective ranks in other Orders

Nobility titles

Religion (for ceremonial protocol only)

Upload photo

I certify that I have read all the questions of the above application and the answers I have furnished on this form are true and correct to the best of my knowledge and belief. I understand that any false or misleading statement may result in refusal of admission.