A2 CLEARANCE APPLICATION FORM

PURPOSE:__________________________________________________________________________

INSTRUCTION: Type and print the required data COMPLETELY and LEGIBLY. Any different omission or distortion of material facts will
give sufficient cause for denial of clearance.

(LAST NAME) (FIRST NAME) (MIDDLE NAME)

RANK/AFPSN/ BR OF SVC:__________________________________UNIT:______________________________________________

JOB DESC/DESIG:____________________________DAU:____________________SN OF ISSUED FIREARM__________________

DATE OF REEN: _____________________ DATE OF CAD/EN: __________________EDUC ATTAINMENT: ___________________

CIVIL STATUS: __________________RELIGION: ____________________HEIGHT:____________ WEIGHT: ___________________

DATE OF BIRTH: _______________________ PLACE OF BIRTH: _____________________________________________________

FULL NAME OF SPOUSE: ___________________________________________ OCCUPATION: _____________________________

HOME ADDRESS: ____________________________________________________________________________________________

PROVINCIAL ADDRESS: ___________________________________________________

OFFICE Tel.Nr: ______________________RES TEL/ CEL NR: _____________________

I CERTIFY that the data provided above are true and correct and I agree that any
misstatement will constitute ground as a violation of existing regulations.

___________________________ ___________________________
(Signature of Applicant) (Date of Application)

A2 CLEARANCE APPLICATION FORM

PURPOSE:__________________________________________________________________________

INSTRUCTION: Type and print the required data COMPLETELY and LEGIBLY. Any different omission or distortion of material
facts will give sufficient cause for denial of clearance.

(LAST NAME) (FIRST NAME) (MIDDLE NAME)

RANK/AFPSN/ BR OF SVC:__________________________________UNIT:______________________________________________

JOB DESC/DESIG:____________________________DAU:____________________SN OF ISSUED FIREARM__________________

DATE OF REEN: _____________________ DATE OF CAD/EN: __________________EDUC ATTAINMENT: ___________________

CIVIL STATUS: __________________RELIGION: ____________________HEIGHT:____________ WEIGHT: ___________________

DATE OF BIRTH: _______________________ PLACE OF BIRTH: _____________________________________________________

FULL NAME OF SPOUSE: ___________________________________________ OCCUPATION: _____________________________

HOME ADDRESS: ____________________________________________________________________________________________

PROVINCIAL ADDRESS: ___________________________________________________

OFFICE Tel.Nr: ______________________RES TEL/ CEL NR: _____________________

I CERTIFY that the data provided above are true and correct and I agree that any
misstatement will constitute ground as a violation of existing regulations.

___________________________ ___________________________
(Signature of Applicant) (Date of Application)