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Ltopf Form PDF

This document is an application for an individual firearms license in the Philippines. It requests personal information such as name, date of birth, address, and qualifications. The applicant certifies that all information provided is true and not falsified. They also agree to terms including not having been convicted of crimes involving moral turpitude or crimes punishable by over 2 years in prison. The application requires a 2x2 ID photo, signature, and right thumbprint to be submitted.

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anon_234569225
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94 views

Ltopf Form PDF

This document is an application for an individual firearms license in the Philippines. It requests personal information such as name, date of birth, address, and qualifications. The applicant certifies that all information provided is true and not falsified. They also agree to terms including not having been convicted of crimes involving moral turpitude or crimes punishable by over 2 years in prison. The application requires a 2x2 ID photo, signature, and right thumbprint to be submitted.

Uploaded by

anon_234569225
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIVIDUAL APPLICATION FOR LICENSE TO OWN AND POSSESS FIREARMS

(To be filled out by FEO Personnel only)


LICENSE CONTROL No.: - - -
TYPE OF LICENSE: TYPE 1 TYPE 2 TYPE3 TYPE 4 TYPE 5
OTHER LICENSE/S: Sports Shooter Antique Firearm Collector Gun Collector
Da y Month Yea r
(To be filled out by Applicant completely and legibly) DATE : / /
PERSONAL INFORMATION

Last Name:
First Name:
Middle Name: Qualifier:

E-Mail Address:
Place of Birth:
Da y Month Yea r
Date of Birth: / / Gender: M F
Mobile No.: + 6 3 TIN: - -

Primary Address: Telephone No.: ( )


Unit No./Bldg:
Street/Brgy:
City/Municipality:
Region: Pos tal Code:

Next of Kin: Last Name


First Name
Middle Name

Mobile No.: + 6 3 Telephone No.: ( )

Qualification: ☐Businessman ☐Professional ☐Private Employee ☐PNP/AFP/Other LEAs


☐Elected Official ☐ Gov’t Official ☐Gov’t Employee ☐Ret. PNP/AFP/Other LEAs
☐Reserve AFP ☐Ret. Gov’t Official ☐Ret. Gov’t Employee ☐Others _________________

CERTIFICATION AND UNDERTAKING


I hereby certify that, pursuant to the provisions of Republic Act 10591, all statements
provided herein are true and correct. Further, I certify that I have not been convicted of any crime
involving moral turpitude, nor have I been convicted or am currently an accused in a pending
criminal case for a crime that is punishable with a penalty of more than two (2) years. Any
misdeclaration/falsity stated in this application shall be a basis for the cancellation of my license 2” X 2”
and the revocation of the registration/s of my firearm/s and its/their eventual confiscation without I.D. Photo
prejudice to the filing of criminal and/or civil case against me. (White Background)
Original Photo Only
No Photocopy
_____________________________________ No Scanned
Signature above printed name

SUBSCRIBED AND SWORN to before me this _______ day of _______ 20____


applicant exhibited to me his/her competent evidence of identity issued by
_______________________, bearing ID No. ______________ on ____________ 20_____.

Doc. No.:________
Page No.:________
Book No.: _______
Series of 20______
RIGHT THUMBMARK
_______________________________ (Roll thumbprint from left to right)
NOTARY PUBLIC
FEO Series of 2014rszmgb

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