Registration Form CSLL-446B
1.FULL LEGAL NAME: Farris Voulgarakis
2. ALL KNOWN ALIASES (LIST ALL THAT APPLY): Tillen, Christopher M. Hobbs
3. BIOLOGICAL AGE: Mid to late thirties
4.BIOLOGICAL SEX: Male
5.LONGEVITY (SELECT ONE):
-ALTERED IMMORTALITY (IMMORTALITY GRANTED VIA MAGICAL CHARM, RUNE, ENCHANTMENT OR BLESSING): [x]
6. BIRTH DATE (TO THE CLOSEST APPLICABLE YEAR): Unsure, estimated to have been born around 1521 AD, possibly in april of that year.
7. BIRTH LOCATION: Gortyna, Crete
8. APPARENT SPECIES: Satyr/Faun
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IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
9. BIOLOGICAL SPECIES: Satyr-nymph hybrid, possible fae influences
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IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
10. ARE YOU AN ALTERED ENTITY (CHECK ONE): YES [__] NO [X]
IF YES, STATE ANY AND ALL ALTERED ENTITY IDENTIFIERS (INCLUDING BUT NOT LIMITED TO: VAMPIRES, WERE-CREATURES, HALF-BREEDS, SHAPESHIFTERS, LICHES, MUMMIES, DRAUGR, ZOMBIES, UNDEAD):
10A. SELECT ONE (1) IDENTIFIER:
-CIVILIAN (CIV) [X]
-MILITARY (MIL) [__]
-GOVERNMENTAL SERVICES (GSR) [__]
-REGISTERED CRIMINAL (BAD) [__]
IF REGISTERED, LIST ALL APPLICABLE INCARCERATIONS AND DETAINMENT INCLUDING REASON, YEAR & LOCATION:
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IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
-VETERAN MILITARY (VET) [__]
-MILITARY RESERVES (MIR) [__]
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF PERSONAL IDENTIFIER CHANGES.
11. ARE YOU A MAGICAL ENTITY (CHECK ONE): YES [X] NO [__]
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF MAGICAL STATUS CHANGES.
11A. LIST MAGICAL ABILITIES AND IDENTIFY EACH AS LETHAL OR NON-LETHAL:
Passive/involuntary short range teleportation [NL]
Other worldly sight [NL] Seer like powers [NL]
Omniglot [NL] Shapeshifting (minor) [NL]
Passive long term information storage via magical means [NL]
Animal persuasion [NL] Ressuresctive Immortality [NL]
Plant manipulation [NL] Perfect musical knowledge with string instruments [NL]
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____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
11B: SELECT ONE (1) IDENTIFIER:
- NON-MAGICAL ENTITY (NME) [__]
--NO MAGICAL ABILITY
- MAGICAL-ENTITY-L (ME1) [__]
-- MINOR MAGICAL ABILITY. NON-LETHAL. UNTRAINED OR LIMITED TRAINING
-MAGICAL-ENTITY-M (ME2) [__]
--MODERATE MAGICAL ABILITY. NON-LETHAL. TRAINED.
-MAGICAL-ENTITY-H (ME5) [X]
--HIGH MAGICAL ABILITY. LETHAL OR NON-LETHAL MAGICS. TRAINED OR HIGHLY TRAINED
-MAGICAL-ENTITY-S (ME7) [__]
--HIGH MAGICAL ABILITY. LETHAL OR NON-LETHAL MAGICS. SPECIALLY TRAINED OR MASTER OF MAGICAL SUBJECT
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF MAGICAL IDENTIFIER CHANGES.
12. LEGAL RESIDENCE:
13. REGISTERED PROFESSION: Teacher/private tutor, professor of English and Classical language, author, poet, musician.
13A. PROFESSIONAL ADDRESS:
14. LEGAL FAMILY MEMBERS (FUNCTIONALLY LIVING MEMBERS ONLY):
Brother: Eoghan Moran.
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____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF FAMILY DYNAMIC CHANGEs.
15. BLOOD TYPE: O- (Note: it is unfit for transfusions unless the receiving party is also fae blooded.)
16. LEFT THUMB FINGERPRINT: {Insert print here}
17: IDENTIFYING PHOTOGRAPH: Attached
SIGNATURE AND DATE:
01/03/2020
__________________________________ ________________________
BY SIGNING THIS DOCUMENT I (THE APPLICANT OF THIS DOCUMENT AND/OR THEIR GUARDIANS) HEREBY ACKNOWLEDGE THAT ANY AND ALL INFORMATION SUBMITTED ON DOCUMENT CSLL-446B IS COMPLETE AND TRUTHFUL TO THE BEST OF MY ABILITY. ANY FALSIFYING OF INFORMATION OR DOCUMENTS WILL BE PERSECUTED TO THE FULLEST EXTENT OF THE LAW. BY SIGNING THIS DOCUMENT I (THE APPLICANT OF THIS DOCUMENT AND/OR THEIR GUARDIANS) HEREBY AGREE TO BE ADDED TO THE CITY OF LOWER LIGHT'S GOVERNMENTAL CENSUS AND AGREE THAT ANY FALSIFIED INFORMATION OR DOCUMENTS WILL TERMINATE YOUR CITIZENSHIP OR APPLICATION OF CITIZENSHIP OF LOWER LIGHT AND WILL RESULT IN IMMEDIATE DEPORTATION.
1.FULL LEGAL NAME: Farris Voulgarakis
2. ALL KNOWN ALIASES (LIST ALL THAT APPLY): Tillen, Christopher M. Hobbs
3. BIOLOGICAL AGE: Mid to late thirties
4.BIOLOGICAL SEX: Male
5.LONGEVITY (SELECT ONE):
-ALTERED IMMORTALITY (IMMORTALITY GRANTED VIA MAGICAL CHARM, RUNE, ENCHANTMENT OR BLESSING): [x]
6. BIRTH DATE (TO THE CLOSEST APPLICABLE YEAR): Unsure, estimated to have been born around 1521 AD, possibly in april of that year.
7. BIRTH LOCATION: Gortyna, Crete
8. APPARENT SPECIES: Satyr/Faun
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
9. BIOLOGICAL SPECIES: Satyr-nymph hybrid, possible fae influences
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
10. ARE YOU AN ALTERED ENTITY (CHECK ONE): YES [__] NO [X]
IF YES, STATE ANY AND ALL ALTERED ENTITY IDENTIFIERS (INCLUDING BUT NOT LIMITED TO: VAMPIRES, WERE-CREATURES, HALF-BREEDS, SHAPESHIFTERS, LICHES, MUMMIES, DRAUGR, ZOMBIES, UNDEAD):
10A. SELECT ONE (1) IDENTIFIER:
-CIVILIAN (CIV) [X]
-MILITARY (MIL) [__]
-GOVERNMENTAL SERVICES (GSR) [__]
-REGISTERED CRIMINAL (BAD) [__]
IF REGISTERED, LIST ALL APPLICABLE INCARCERATIONS AND DETAINMENT INCLUDING REASON, YEAR & LOCATION:
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
-VETERAN MILITARY (VET) [__]
-MILITARY RESERVES (MIR) [__]
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF PERSONAL IDENTIFIER CHANGES.
11. ARE YOU A MAGICAL ENTITY (CHECK ONE): YES [X] NO [__]
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF MAGICAL STATUS CHANGES.
11A. LIST MAGICAL ABILITIES AND IDENTIFY EACH AS LETHAL OR NON-LETHAL:
Passive/involuntary short range teleportation [NL]
Other worldly sight [NL] Seer like powers [NL]
Omniglot [NL] Shapeshifting (minor) [NL]
Passive long term information storage via magical means [NL]
Animal persuasion [NL] Ressuresctive Immortality [NL]
Plant manipulation [NL] Perfect musical knowledge with string instruments [NL]
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
11B: SELECT ONE (1) IDENTIFIER:
- NON-MAGICAL ENTITY (NME) [__]
--NO MAGICAL ABILITY
- MAGICAL-ENTITY-L (ME1) [__]
-- MINOR MAGICAL ABILITY. NON-LETHAL. UNTRAINED OR LIMITED TRAINING
-MAGICAL-ENTITY-M (ME2) [__]
--MODERATE MAGICAL ABILITY. NON-LETHAL. TRAINED.
-MAGICAL-ENTITY-H (ME5) [X]
--HIGH MAGICAL ABILITY. LETHAL OR NON-LETHAL MAGICS. TRAINED OR HIGHLY TRAINED
-MAGICAL-ENTITY-S (ME7) [__]
--HIGH MAGICAL ABILITY. LETHAL OR NON-LETHAL MAGICS. SPECIALLY TRAINED OR MASTER OF MAGICAL SUBJECT
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF MAGICAL IDENTIFIER CHANGES.
12. LEGAL RESIDENCE:
13. REGISTERED PROFESSION: Teacher/private tutor, professor of English and Classical language, author, poet, musician.
13A. PROFESSIONAL ADDRESS:
14. LEGAL FAMILY MEMBERS (FUNCTIONALLY LIVING MEMBERS ONLY):
Brother: Eoghan Moran.
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
IF ADDITIONAL SPACE IS REQUIRED, SEE NEXT PAGE.
NOTE: YOU ARE REQUIRED BY LAW TO SUBMIT A NEW CSLL-446B FORM WITHIN THREE (3) BUSINESS DAYS IF FAMILY DYNAMIC CHANGEs.
15. BLOOD TYPE: O- (Note: it is unfit for transfusions unless the receiving party is also fae blooded.)
16. LEFT THUMB FINGERPRINT: {Insert print here}
17: IDENTIFYING PHOTOGRAPH: Attached
SIGNATURE AND DATE:
01/03/2020__________________________________ ________________________
BY SIGNING THIS DOCUMENT I (THE APPLICANT OF THIS DOCUMENT AND/OR THEIR GUARDIANS) HEREBY ACKNOWLEDGE THAT ANY AND ALL INFORMATION SUBMITTED ON DOCUMENT CSLL-446B IS COMPLETE AND TRUTHFUL TO THE BEST OF MY ABILITY. ANY FALSIFYING OF INFORMATION OR DOCUMENTS WILL BE PERSECUTED TO THE FULLEST EXTENT OF THE LAW. BY SIGNING THIS DOCUMENT I (THE APPLICANT OF THIS DOCUMENT AND/OR THEIR GUARDIANS) HEREBY AGREE TO BE ADDED TO THE CITY OF LOWER LIGHT'S GOVERNMENTAL CENSUS AND AGREE THAT ANY FALSIFIED INFORMATION OR DOCUMENTS WILL TERMINATE YOUR CITIZENSHIP OR APPLICATION OF CITIZENSHIP OF LOWER LIGHT AND WILL RESULT IN IMMEDIATE DEPORTATION.
Moderators: Postey