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DEPARTMENT OF CULTURAL HYGIENE CLEARANCE FORM

Thank you for taking the time to serve your country and ensure the sanctity of our media and culture at large. Your work today preserves the purity of our culture tomorrow. Remember, all answers are considered to be given under oath and in full view of our Lord. Thank you for your cooperation.

BASIC INFORMATION

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WHAT COUNTRY DO YOU LIVE IN?

ARE YOU EMPLOYED?

A

Y

B

N

DO YOU HAVE ANY CREATIVE PRACTICES?

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A

N

B

ARTIST (VISUAL)

C

ARTIST (AUDIO)

D

ARTIST (LITERARY)

E

ARTIST (CRAFTSMAN)

F

ARTIST (PERFORMANCE)

G

ARTIST (OTHER)

HAVE YOU EVER SEEN THIS MAN?

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https://storage.tally.so/2562fb88-a632-4ba7-97bd-ba694c888a5f/Screenshot-2026-05-17-114436.png

A

Y

B

N

IF YES, EXPLAIN

HAVE YOU EVER READ MATERIALS ATTRIBUTED TO HIM?

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A

Y

B

N

IF YES, EXPLAIN

WOULD YOU BE WILLING TO READ CLEARED MATERIALS?

*

A

Y

B

N

I UNDERSTAND THAT I AM ACCEPTING COGNITIVE LIABILITY IN ORDER TO PARTICIPATE IN THE HYGIENE OF OUR CULTURAL INHERITANCE.

*