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  Application for Renewal of Individual Firearm License

  Please fill up the renewal form below.
Admin. Control: 1-

  yyyy-mm-dd
 Date Submitted:
2012-02-06

Kind of License applied for:
  RL      SP      SCR      SRL
May I respectfully request for the renewal of my firearm license. My personal details, firearm date and compliance to other requirements in connection with my license to possess firearm are stated below.
    With Changes      No Change

  Personal Data

Owner (Entity):
Last Name:
First Name:
Middle Name:
Address:
Email Address:
Telephone Number:
Cellphone Number:

  Day          Month    Year
Date of Birth:
Place of Birth:
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

Source of Firearm
(Dealer / Transfer/ Amnesty):
Kind:
Make:
Model:
Serial No.:
Caliber:

 
     
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