7/12/2016 CREATE YOUR OWN NATION
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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: *
7/12/2016 CREATE YOUR OWN NATION
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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): *
7/12/2016 CREATE YOUR OWN NATION
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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.
7/12/2016 CREATE YOUR OWN NATION
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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?)
7/12/2016 CREATE YOUR OWN NATION
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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:
7/12/2016 CREATE YOUR OWN NATION
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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:
7/12/2016 CREATE YOUR OWN NATION
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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:
7/12/2016 CREATE YOUR OWN NATION
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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. *
7/12/2016 CREATE YOUR OWN NATION
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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:
7/12/2016 CREATE YOUR OWN NATION
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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:
7/12/2016 CREATE YOUR OWN NATION
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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
7/12/2016 CREATE YOUR OWN NATION
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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:
7/12/2016 CREATE YOUR OWN NATION
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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:
7/12/2016 CREATE YOUR OWN NATION
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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!) *