
30 thousand years and growing
"At the place of spearing fishes and eels".
Indigenous Original Inhabitants Since Time Immemorial
Oral traditions - we came from eastern sea.
Signatory to the Native Nations Intergovernmental Alliance Treaty
P.O. Box 100 South River Ontario. P0A 1X0
Name of applicant: ____________________________________________________________________
Last First Middle
Mailing Address: ______________________________________________________________________
Street PO B0X
________________________________________________
City or Town Province Postal Code
Telephone: home (___)_______________ work (___)___________________
Email: ___________________________
Do you self identify as:
Métis? Yes___ No___
Inuit? Yes___ No___
Indian –Under The Indian Act? Yes___ No___
Non-Status Indian? Yes___ No___
Yes to the above two wish to be adopted into Anishinabek Solutrean Metis Indigenous Nation? Yes___ No___
Non-aboriginal who wish to be adopted by Traditional Customs and Traditions Affirmed, by Supreme Court Rulings? Yes___ No___
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Date of Birth: _______/____/____ Sex: Male___ Female:___
Month Day Year
Spouses Name: __________________________________________________________

Price Chart
18-up
15-18
12 and under
Lost or stolen cards or replacements
Renewals
$55.00 lifetime Membership
$30.00 until 18 then requires renewal
$20.00 renewal at 18
As listed per age bracket
$25.00
Payment options are certified cheque or money order, PayPal or interact email transfers. For email transfers please use info@asm-in.com.
Due to Rules under International Law Renewal Outlines are mandatory. As such we have extended cards to a 5 year expiry date.
If applicable.
Children’s Name(s) (if more room needed, please attach separate sheet) Birth Dates (month/day/year)
_____________________________________________ __________________
_____________________________________________ __________________
_____________________________________________ __________________
_____________________________________________ ___________________
_____________________________________________ ___________________
ABORIGINAL ANCESTRY CHART
Please fill out Aboriginal side as complete and accurate as possible. Lack of documentation can cause longer delays in verification. Please allow up to 12 weeks for verification
Name of… Date of Birth
(M/D/Y)
(use maiden names(
Your mother
Your father
Your Mother’s
Mother
Your Mother’s Father
Approximately
Your Father’s Mother
Your Father’s Father
Weight __________________
Height __________________
Hair color _________________
Where was S/he from?
(town, province)
Does S/he have If yes, please indicate
Aboriginal ancestry?
Métis/FN/Inuit

Eye color _________________
All material I submit in this certification is true and accurate to the best of my knowledge. I understand that any intentionally misleading or false information will result in the termination of my Nation / TribalMembership card.
________________________________________________
This is signature part of the back of your Nation membership card. Please sign the appropriate signature line below. (Be sure to include this page with your application – also please stay within the lines)
Please provide any further documentation that you feel warranted to process your application
The Above signature denotes an Aboriginal person under Section 35 of the Canadian Constitution Act , 1982. Estautochlone sous section 35 de la adoptée par le gouvernement du Canada sous la Constitution en 1982 and Under Indigenous Customs and
Traditions.
Please supply what genealogy information you have to verify your ancestry. All information is handled with respect to Privacy
Laws of the multiple nations, Canada USA and ASMIN.
Please make money order out to: ASMIN Management Corporation, Box 100, South River, Ontario P0A 1X0 Canadian.
ASMIN Management Corporationis a community owned management firm under contract for the Nation.
Two copies of a color passport photo is required. Photocopies of other official documents should be included to verify photo.
French Translation is in translation - out soon.
---------------------------------Below office signatures++++++++++++++++++++++++++++++++++++++
Please Sign in BLACK INK inside this box so it will show up on card clear
Membership Director’s Signature