Constitutional – Affirmation of Allegiance Full Name(Required) The Name you use now - to be put into the Affirmation Please put in the full Name by which you are called by, this is the Name that will printed on the Affirmation that will be mailed to you to complete.. Address(Required) Number and Street Suburb/Town Original State Please put in your complete address, this will be printed on the Affirmation mailed to you... Date Born(Required)DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please put in date you were born, this is used as a part of the Document File Number and will be printed on the Affirmation mailed to you... Email(Required) Phone(Required)Constitutional - Affirmation of Allegiance Price: Share This Post Have your say!00 Previous ArticleAffirmation of AllegianceNext ArticleCommonwealth – Affirmation of Allegiance