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  Gun License Application

  Please fill up the application form below.
 Application Date:
2012-02-06

  Personal Data

Owner (Entity):
Last Name:
First Name:
Middle Name:
  Year          Month    Day    
Date of Birth:
Place of Birth:
Citizenship:
  Sex:
Marital Status:
Residential Address:
Length of Stay in present address:
Telephone Number:
Cellphone Number:
Email Address:
   
Provincial Address:
Previous/Other Address:
Name of Spouse:
Next of Kin
(If any):
Names & Ages of Children (If any):
TIN:

  Qualifications

  Businessman/Proprietor Private Employee/Individual Elected Official
 Specify:
  Professional Government Employee Government Official
 Specify:
  Others Retired Government
        Employee
Retired Government
        Official
 Specify:
  PNP / AFP /
        BJMP / BFP / PCG
Ret.PNP / AFP /
        BJMP / BFP / PCG
Reserve Officer on
        Inactive Status
  Rank: Rank: Rank:
  Branch: Branch: Branch:

  Firearms Information

  Please select the firearm you wish to apply a license for:
  
  If Others, please specify the model and make of the firearm here:
  
  Ammo Quantity:

  Employment

Profession:
Position:
Name of Company/
Office:
Address:
Tel. No.:
Length of Service:

  Criminal Record

 Accused/Convicted of any Crime? Yes     No
  If Yes:
When & Where Filed:
 Nature of Offense and Outcome:

  Name & Contact Information of Three (3) non-relative Character References:

Reference 1:
Name:
Address:
Contact Number:
Reference 2:
Name:
Address:
Contact Number:
Reference 3:
Name:
Address:
Contact Number:
   

  Firearms Possession

 Any Previous Firearms License Application? Yes     No
  If Yes:
For What Firearm:
License
  Approved     Disapproved     Cancelled     Suspended

 
     
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