I-483 (Rev. 7-11-2484)

AGIS Bureau of Product Regulation


The BPR acquisition, retention, and sharing of information submitted on this form is generally authorized under 12 ISGC 434 and 29 ACS 12.12-14.30. The purpose for requesting this information from you is to provide the BPR with a minimum of identifying data to permit an accurate and timely search of identity history genetic records. Providing this information (including your Citizen Identification Number) is mandatory; failure to provide the information may affect the completion of your application. The information reported on this form may be disclosed pursuant to your consent, and may also be disclosed by the BPR without your consent pursuant to the Corporate Privacy Act of 2420 and all applicable routine uses.


Clone / Fabricant Registration Form

Applicant Name:
Product  Classification (Clone Grade A-E, or Fabricant):
Construct purpose (e.g.  Labor):
Model Number or Production Line:
Neural Network Grade (Civilian, Corporate, Military):
Citizen Identification Number:
Residency (Earth, Mars, Lunar Colonies):
AGIS Identification Gene Code Present [Y/N]:
Creation Date:

Applicant Signature:                                     Date:

-----For AGIS Internal Use Only ------------------------------------------

Agent Name:
Verified patented AGIS Identification Gene Code [Y/N]:
Verified Owner License [Y/N]:
Verified Clone/Fabricant Classification [Y/N]:
Verified Kill Switch [Y/N]:
Application Status: [  ] Approved [  ] Denied [  ] Referred to AGIS
Registration Number: AGIS.GC-____-_____


Views: 333


You need to be a member of INSILICO to add comments!

Latest Activity

Forestheart Resident updated their profile
Apr 2
Forestheart Resident left a comment for Forestheart Resident
"The 3 pics you see here are some of the roles I play on Secondlife. The pics were taken in my office where I work as a Bounty Hunter. I also run a couple of clubs, some manufacturing, a couple of clothing stores, and various other enterprises.I am…"
Apr 2
Forestheart Resident left a comment for Forestheart Resident
Apr 2
Tyler the Drifter commented on StarRavenSAT's blog post INN Radiocast: January Round Up
"Finally some good news ;)"
Mar 15
Angel Eleven updated their profile
Feb 21
Andrea Rain commented on Abeus's blog post [OOC] Phase 497 (AKA A New Website
"OK, so the the pics are still there, it's just the menu link that has been removed. I was able to reach my pics using a link from my browser history. "
Feb 16
Andrea Rain commented on Abeus's blog post [OOC] Phase 497 (AKA A New Website
"So... I just came here to download the pics I had posted (in case I've lost the copies on my hard-drive), and I can't get access to photos at all. How do I get around this?"
Feb 16
Jadzia sak updated their profile
Feb 11

© 2017   Created by SKiLLS.   Powered by

Badges  |  Report an Issue  |  Terms of Service