SURNAME: Darkwood
FIRST NAME: William
ADDRESS OF RESIDENCE: Darkwood Manor
MUNICIPALITY/ARCHDIOCESE OF CANDIDACY (State 'National' if not running in a specific municipality): National
YEAR OF BIRTH: 1820
Are you registered and eligible to vote in the Municipality or Archdiocese you are running? Yes Do you have any other title, peerage or military service that may conflict with becoming a Member of the Imperial Diet, as per the Edict of Furnestock (1838)? Yes
If yes, do you understand that you will be required to resign or abdicate from this position should you be elected to the Diet, and if this does not occur your seat shall be considered to be vacant?: Yes