Application For A Firearm Licence (Individual) - Republic Of Guyana Page 6
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7I.
FAMILY INFORMATION
Please print additional pages, as may be necessary.
SECTION A
Present Address
(if deceased give last address
Full Name
Relationship
Date of Birth
Marital
and date)
SEE NOTE 1
yyyy/mm/dd
Status
Present Occupation
SPOUSE OR
COMMON-LAW
PARTNER
MOTHER
FATHER
NOTE 1: If no spouse or common-law partner is listed in Section A, read and sign below.
I certify that I do not have a spouse or common-law partner.
________________________
_______________
Signature
Date
SECTION B
CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age
or place of residence)
Present Address
(if deceased give last address and
Full Name
Relationship
Date of Birth
Marital
date)
SEE NOTE 2
yyyy/mm/dd
Status
Present Occupation
NOTE 2: If no children are listed in Section B, read and sign below.
I certify that I do not have any children, either biological or adopted. _____________________
_____________
Signature
Date
Page 6 of 7
FA-I1.1.201301.1
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