THIS FORM IS NOT FOR SALE

Downloadable Form is available at www.pnp.gov.ph

PERMIT TO CARRY FIREARMS OUTSIDE OF RESIDENCE (PTCFOR)

APPLICATION FORM

To be filled out by PTCFOR Personnel only

PERSONAL ID NO. ___________________________________ APPLICATION CONTROL NO. ___________________

DATE REGISTERED _______________________________ APPLICATION TYPE ______________________________

PERSONAL DETAILS

LAST NAME ____________________________________________________________________________

FIRST NAME ____________________________________________________________________________
MIDDLE NAME _________________________________________ DATE OF BIRTH _____ / _____ /_____
QUALIFIER ____________________________________________ GENDER ________________________
CELLPHONE NO. _______________________________________ TIN NO. _________________________

UNIT NO. ________________________ STREET NAME__________________________________________

BRGY OR DISTRICT ______________________________________________________________________

CITY OR MUNICIPALITY___________________________________________________________________

REGION / PROVINCE______________________________________________________________________

POSTAL CODE __________________________________ CONTACT NO ____________________________

QUALIFICATION

OCCUPATION ___________________________________________________
OFFICE NAME ___________________________________________________
OFFICE ADDRESS _______________________________________________ 2 X 2 PHOTO
WHITE BACKGROUND
OFFICE NO _____________________________________________________

FIREARM DETAILS

SERIAL NO. ____________________________________________________

KIND __________________________________________________________
MAKE ___________________________________ CALIBER _____________
LICENSE CONTROL NO __________________________________________
RIGHT THUMBMARK
AFFIDAVIT OF UNDERTAKING
I HEREBY CERTIFY that all statements herein are true and correct. I further certify that I have no criminal conviction
or pending criminal/administrative case before any court of law or administrative body as of this date. Neither is the firearm
described herein my PTCFOR, I undertake to inform the C, PNP within five (5) days from knowledge of any case that may
be filed against me.
I attest to truthfulness of the above statements, I here to affix my signature
on the day of ________________________, at Camp Crame, Quezon City.
I shall hold myself liable for perjury for any misrepresentation pertaining to
this application.

SUBSCRIBED AND SWORN to before me on the day of ______________ SIGNATURE

applicant exhibited to me his/her attached proof of identity.

RECOMMENDED BY : APPROVED / DISAPPROVED :

JUDY JASMIN O PALICOS RODOLFO S AZURIN, JR

Police Lieutenant Colonel Police General
Chief, PTCFOR Secretariat Chief, PNP