Individual Application For License To Own And Possess Firearms
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1INDIVIDUAL APPLICATION FOR LICENSE TO OWN AND POSSESS FIREARMS
(To be filled out by FEO Personnel only)
LICENSE CONTROL No.:
-
-
-
TYPE 1
TYPE 2
TYPE3
TYPE 4
TYPE 5
TYPE OF LICENSE:
Sports Shooter
Antique Firearm Collector
Gun Collector
OTHER LICENSE/S:
Da y
Month
Yea r
DATE :
/
/
(To be filled out by Applicant completely and legibly)
PERSONAL INFORMATION
Last Name:
First Name:
Qualifier:
Middle Name:
E-Mail Address:
Place of Birth:
Da y
Month
Yea r
Date of Birth:
/
/
Gender: M
F
+ 6 3
TIN:
-
-
Mobile No.:
Telephone No.: (
)
Primary Address:
Unit No./Bldg:
Street/Brgy:
City/Municipality:
Region:
Pos tal Code:
Next of Kin:
Last Name
First Name
Middle Name
Mobile No.:
Telephone No.: (
)
+ 6 3
☐
☐
☐
☐
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
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