TRUST@TRADE (Owned & Registered by Gigi Industries, Inc.) Customer Contact Details cv. asi 1sDe2017) First Name Middle Name Family Name Globe Smart Sun/ Others Mobile Number [ Home Office Others Land Line To be Used for On-Line LTOPF | Password for On-Line LTOPF including Notifications if Not 12345678 Email Address Home Office Mailing Address Data Needed for PNP FEO Online LTOPF Birthday (mm/dd/yy) Civil Status Next of Kin (First & Last Names) Cell Phone No. of Next of Kin Understanding for LTOPF & Firearm Registration Fees Payment (v4) Thave given payments for my License to Own and Possess Firearms (LTOPF) and/or Firearm Registration (FR) fees for the following firearms to Trust Trade, so they can pay the same for me at Land Bank: Date of Deposit Firearm Model Details | Serial Number | T 1 T understand that PNP Firearms and Explosives Office (FEO) shall send to me, through Short Message Service (SMS) or email message, my Reference Number for the payment my LTOPF and/or FR fees. | undertake to notify Trust Trade the Reference Number that I will receive from the PNP FEO to allow Trust ‘Trade to pay the fees to Landbank on my behalf. To avoid duplication of payment, | underlake not to pay the fees on my own since they are not refundable. Thereby authorize Trust Trade to do the following: 1. Tosecuremy Reference Number from the PNP FEO (in the event [do not receive the Reference Number from PNP FEO); and, 2. To pay the LTOPF and/or FR fees. Signature above Name Date Signed