social identification

name [and/or title(s)]: 
social security number: 

sex: male female other male other female other

cognitive and behavioral symptoms

difficulty of sex concentration

speech swaying

blocked attack thoughts

fear of blocking opposite sex

same sex body shaking

affective and somatic symptoms

Tense

Diarrhea

Frightened

Fainting

Nausea

Unsteady

warning: legal defensibility

To maintain chain of custody and positive ID samples, unsupervised handling or false negative answers to questions delegitimize this card. To maintain traceability and custom integrity, data may only be updated at SECURITYLAND Interrogation and Biomerge Centers.

I hereby acknowledge the above given data is true

e-mail: p.i.n.:



Liberty lies in the heart of the people.
When it dies there, no constitution, no law, no court [or] technology can save it
Judge Learned Hand, 1943