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Individual LTOPF Application Form

This document is an application for an individual license to own and possess firearms. It requests personal information from the applicant such as name, date of birth, address, contact details, as well as qualification and certification. The applicant certifies that all information provided is true and that they have not been convicted of any crimes involving moral turpitude or crimes punishable by over 2 years in prison. The applicant also agrees that any falsification can be grounds for license cancellation and firearm confiscation.

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Sam Reyes
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3K views

Individual LTOPF Application Form

This document is an application for an individual license to own and possess firearms. It requests personal information from the applicant such as name, date of birth, address, contact details, as well as qualification and certification. The applicant certifies that all information provided is true and that they have not been convicted of any crimes involving moral turpitude or crimes punishable by over 2 years in prison. The applicant also agrees that any falsification can be grounds for license cancellation and firearm confiscation.

Uploaded by

Sam Reyes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIVIDUAL APPLICATION

INDIVIDUAL APPLICATIONFOR LICENSETO


FOR LICENSE TOOWN
OWN AND
AND POSSESS
POSSESS FIREARM
FIREARMS

(To be filled out by FEO Personnel only)


TYPE OF APPLICATION:
LICENSE CONTROL No.: - - -
NEW
RENEWAL
TYPE OF LICENSE: TYPE 1 TYPE 2 TYPE3 TYPE 4 TYPE 5
OTHER LICENSE/S: Sports Shooter Antique Firearm Collector Gun Collector
Day Month Year
(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:
Day Month Year
Date of Birth: / / Gender: M F

Mobile No.: + 6 3 TIN: - -

Primary Address: Telephone No.: ( )

Unit No./Bldg:
Street/Brgy:
City/Municipality:
Region: Postal 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 2” X 2”
provided herein are true and correct. Further, I certify that I have not been convicted of any crime I.D. Photo
involving moral turpitude, nor have I been convicted or am currently an accused in a pending (White Background)
Original Photo Only
criminal case for a crime that is punishable with a penalty of more than two (2) years. Any No Photocopy
misdeclaration/falsity stated in this application shall be a basis for the cancellation of my license No Scanned
and the revocation of the registration/s of my firearm/s and its/their eventual confiscation without
prejudice to the filing of criminal and/or civil case against me.

_____________________________________
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-ILS-LTOPF-r2016-amx

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