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Firearms Application Form

Firearms Application Form

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Published by Charles Agraba

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Published by: Charles Agraba on Jun 30, 2013
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BIO DATA

Date :
KINDLY FILL UP THE BIO DATA PAGE COMPLETELY
PERSONAL DATA
Name : First Name : _________________________________
Middle Name : _________________________________
Last Name : __________________________________
Occupation : _________________________________________ Field : __________________
Email address : _______________________________________
City Address :____________________________________________________ Tel No. / Cel No._____________
Provincial Address : _______________________________________________ Tel No. / Cel No._____________
Length of Stay in present address: _________________
Date of Birth _____ /____ /_______ Place of Birth _______________
Height : ____________________ Weight : ________________ Religion : _______________
Marital Status : _____________________ Sex : M / F
Father’s Name : _____________________________________________ Contact Details:_______________________
Occupation : ____________________________________________________________________________________
Mother’s Name : _____________________________________________Contact Details: ______________________
Occupation : ____________________________________________________________________________________
Parent’s Address : ________________________________________________________________________________
Language / Dialect Spoken & Written : ________________________________________________________________
Name of Spouse :___________________________________Age : ________ Date of Birth:___________________
Address : _______________________________________________________________________________________
Name of kids Ages
____________________________ ________
____________________________ ________
____________________________ ________
EDUCATIONAL ATTAINMENT: ADDRESS YEAR ATTENDED
Elementary : ____________________________ _______________________________ __________
High School : ____________________________ _______________________________ __________
Vocational : _____________________________ _______________________________ __________
College / Course : ________________________ _______________________________ __________
EMPLOYMENT
Profession: __________________________________ Position:_____________________________
Name of Company / Office :___________________________________________________________
Address: ______________________________________ Tel No: ____________________________
CRIMINAL RECORD:
Accused / Convinced : ( ) YES ( ) NO
If YES Nature of offense and outcome _____________________________
FIREARMS POSSESION
Any previous firearms possession ( ) YES ( ) NO
For what firearms: _________________________
License Approved ( ) Disapproved ( ) Cancelled ( ) Suspended ( )
Employment Record :
Name of Company Address Position year
______________________________________ _____________________ ______________ ________
______________________________________ _____________________ ______________ ________
_____________________________________ _____________________ ______________ ________
Character References
Name Address Position Tel No Cell No
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________


Res Certificate Number Passport
Place / Date Issued
SSS# : Tin# : NBI# :



ID PICTURE
2 x 2
White
background
Thumbmark
I hereby certify that the above information is true and correct to
the best of my knowledge and belief




APPLICANT:S SIGNATURE

ID FORM

NAME:

NICKNAME:

DESIGNATION:

COMPLETE ADDRESS:

CONTACT DETAILS:

Person to contact in case of emergency:

TIN:

SSS:



SPECIMEN SIGNATURE



left & right thumbmark





Sketch Map of Residence












Authorization

This will authorize Mr. / Ms. ______________________________________ , of legal age, Filipino Citizen , Married /
Single , a resident of
_______________________________________________________________________________________________
_______________________________________________________________________________________________
____________ who is known to me as _____________________________________
To perform the following acts ;

1. To personally file with the PNP Firearms and Explosive Division my application for a firearm license together with
the supporting documents which I have prepared or caused to be prepared

2. To personally pay the PNP - Firearms and Explosive Division , The Firearms License Fee and other fees that may
be imposed in connection with the said application for Firearms License

Done at _______________________________ this _________day of __________ year ________



Signature Over Printed Name
Applicant

++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Acceptance / Consent

I, ___________________________________________ of Legal Age , Married / Single, a resident of
_____________________________________________________________________________
A dealer / representative of A dealer / representative of GUN TECH INTERARMS,
with postal address at 643 Pilapil St., Tondo, Manila , do hereby accept my appointment as the authorize agent of do
hereby accept my appointment as the authorize agent of

___________________________________________________ , who represent to me that he / she prepares , or
caused to be prepared, the attached application form Firearms License and its supporting documents for which he / she
is the named applicant. By these presents, I hereby express my consent to perform the acts so designated and accept
the concomitant responsibility to faithfully protect, to the best of my ability and resources, the integrity of the documents
from any anomaly that may arise there from.

IN WITNESS WHEREOF , I have affixed my signature below this ____day of ____,year_____.



GUN TECH INTERARMS

Signature Over Printed Name
Dealer / Representative


SUBSCRIBED AND SWORN to before me this _ day of ______ year ________.



Doc No. __________________________
Page No. NOTARY PUBLIC
Book No.
Series of







INFORMATION SHEET
Personal Data
First Name : __________________________________________________________________________
Middle Name; __________________________________________________________________________
Last Name; __________________________________________________________________________
Date of Birth: ___________________________ Place of birth : ___________________________
Citizenship;_________________________ Sex; _____________ Marital Status: ____________
Residential Address:_______________________________________________________________________
Length of Stay in present address : _______________
Provincial Adress:_________________________________________________________________________
Previous / Other Addresses: _________________________________________________________________
___________________________________________________-____________________________________

Name of Spouse:__________________________________________________________________________
Next of Kin: ( if single ) : _____________________________________________________________________
Name and Ages of Children if any:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_____________________________________________________

EMPLOYMENT :
Profession : _________________________________________Position : ____________________
Name of Company / Office :_______________________________________________________
Address : ______________________________________________ Tel No.,__________________

CRIMINAL RECORD :
Accused / Convicted of any Crime ? ( ) YES ( ) NO
When and Where Filed? ____________________________________________________
Nature of offense and outcome ______________________________________________
Name and Address of three ( 3 ) non relative Character References : Tel No.
______________________________________________________ _________________________
______________________________________________________ _________________________
______________________________________________________ _________________________

FIREARMS POSSESION
Any previous Firearms application ? YES ( ) NO ( )
For what firearms __________________________________________________________
License Approved ( ) Disapproved ( ) Cancelled ( ) Suspended ( )

CERTIFICATION

I HEREBY CERTIFY THAT all the foregoing statement replies and answers on this informati on sheet are true
and correct.



Signature of Applicant
Date _______________


SUBSCRIBED AND SWORN to before me this ___ day of ______ year ________ applicant exhibited to me his/her
Residence Certificate No._____________________ issued __________ on
_______________________________________


Doc No. __________________________
Page No. NOTARY PUBLIC
Book No.
Series of





LEFT MARK
THUMB

RIGHT THUMB
MARK
ID
PICTURE

REPUBLIC OF THE PHILIPPINES
APPLICATION TO POSSES FIREARMS
Under Section 887,Revised Representative
Code & General Orders Nos. 7, 7-A & 7-B
Pursuant to Proclamation No. 1081



---------------------------------------
Date

THE DIRECTOR GENERAL, PNP
Camp Crame, Quezon City


I,________________________________________________years ,born in_________________________
A citizen of the ________________________________________________for the past__________years
By occupation______________________________________residing at __________________________
And w/ one mailing address is___________________________________________________________
Request authority to hold in my possession ( or th e require and hold for the)
Purpose of ____________________________________ the following described firearm/s and
Ammunition.

FIREARMS AMMUNITION
KIND MAKE SERIAL NUMBER CALIBER QTY







Certificate of Deposit in the Phil. Post Savings Bank duly endorsed or bond
For ________________________________________________is here to attached.

That I hereby covenant and agree that I will, safely keep the above firearm/s
And will comply faithfully with all the laws, rules and regulations relating firearm/s
Which is now , or hereafter may be in force.


______________________
(Applicant)

Residence Certificate No. ______________________________ is issued at_______________
On the ______________________day of _____________________, 20_________


NOTE: One 30 centavos documentary stamps must accompany this applicant but
Do not affix.


PNP No. 2
(Revised under PD 1081)










REPUBLIC OF THE PHILIPPINES
PROVINCE OF


----------------------------------------------




A F F I D AVI T


I,______________________________________ of legal age,______________________citizen

Married / single/ widow/widower with permanent address at
______________________________________________________________________________
__________________________________________________________after have been duly
Sworn to the accordance with the law do hereby depose and says.

That I have no pending administrative or civil case in any military / civil court in the Philippines: and

That this affidavit is being executed in connection with my application to posses firearms(s)
.




IN WITNESS WHEREOF , I have affixed my signature below this ____day of ____,year_____.

Residence Certificate No. ______________________________ is issued at_______________
On the ______________________day of _____________________, 20_________






Signature Over Printed Name





SUBSCRIBED AND SWORN to before me this _ day of ______ year ________.




Doc No. __________________________
Page No. NOTARY PUBLIC
Book No.
Series of









CERTIFICATION


Date :

This is to certify that I _____________________________________________ resident of
________________________________________________


Has received the following unit(s) in good order and condition

Quantity :

Description :

Kind :

Make :


Caliber :

Serial Number :

PTT Control Number :

Admin Control Number # IB

License #

Date Issued :
Control No : Expiry Date :







Signature over Printed Name

SUBSCRIBED AND SWORN to before me this _ day of ______ year ________.




Doc No. __________________________
Page No. NOTARY PUBLIC
Book No.
Series of


























































ID FORM NAME: NICKNAME: DESIGNATION: COMPLETE ADDRESS: CONTACT DETAILS: Person to contact in case of emergency: TIN: SSS: SPECIMEN SIGNATURE left & right thumbmark Sketch Map of Residence .

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