Application For A Firearm Licence (Individual) - Republic Of Guyana Page 7

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SECTION C
BROTHERS AND SISTERS (Include ALL brothers and sisters, ALL half-brothers and half-sisters and
stepbrothers and stepsisters.)
Present Address
(if deceased give last address and
Full Name
Relationship
Date of Birth
Marital
date)
SEE NOTE 3
yyyy/mm/dd
Status
Present Occupation
NOTE 3: If no brothers and sisters are listed in Section C, read and sign below.
I certify that I do not have any brothers and sisters.
_______________________
_____________
Signature
Date
J.
DECLARATION
I hereby declare that the information provided by me is true and correct to the best of my knowledge.
_______________________
_____________________
Signature of Applicant
Date
Person preparing this application other than applicant
I hereby certify that this application was prepared by me on the basis of information of which I have knowledge.
_______________________
_____________________
Signature
Date
If applicant is unable to sign, the person filling the form should sign the form and the applicant should place his right
thumb print in the space reserved for signature of applicant.
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FA-I1.1.201301.1

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