Membership Certification Request
Last Name: Kotzias
Given Name: Michalis
Date of Birth: 12/09/1989
Theme of Residence: Byzantium
Party Affiliation: Selenids United
I, Michalis Kotzias, hereby certify that this information is true, that I have sworn the required oath or affirmation to uphold the Constitution of Selene, to follow the laws and discharge my duties in compliance with the solemnity of my office, and that I take this obligation freely and with full knowledge of the privileges and responsibilities attached to the same.