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    Rommel Ltop PDF

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    Rommel lorenzo
    This document is an application for an individual firearm license in the Philippines. It contains sections for the applicant to provide personal information such as name, date of birth, address, contact details, and certification. It also specifies the type of license being applied for and requires the applicant's signature, identification photo, and thumbprint. The applicant certifies that they have not been convicted of any crimes involving moral turpitude or crimes punishable by over two years in prison. Any misdeclaration on the application may result in license cancellation and firearm confiscation.

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    © All Rights Reserved
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    Rommel Ltop PDF

    Uploaded by

    Rommel lorenzo
    166 views2 pages
    This document is an application for an individual firearm license in the Philippines. It contains sections for the applicant to provide personal information such as name, date of birth, address, contact details, and certification. It also specifies the type of license being applied for and requires the applicant's signature, identification photo, and thumbprint. The applicant certifies that they have not been convicted of any crimes involving moral turpitude or crimes punishable by over two years in prison. Any misdeclaration on the application may result in license cancellation and firearm confiscation.

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    This document is an application for an individual firearm license in the Philippines. It contains sections for the applicant to provide personal information such as name, date of birth, address, contact details, and certification. It also specifies the type of license being applied for and requires the applicant's signature, identification photo, and thumbprint. The applicant certifies that they have not been convicted of any crimes involving moral turpitude or crimes punishable by over two years in prison. Any misdeclaration on the application may result in license cancellation and firearm confiscation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    166 views2 pages

    Rommel Ltop PDF

    Uploaded by

    Rommel lorenzo
    This document is an application for an individual firearm license in the Philippines. It contains sections for the applicant to provide personal information such as name, date of birth, address, contact details, and certification. It also specifies the type of license being applied for and requires the applicant's signature, identification photo, and thumbprint. The applicant certifies that they have not been convicted of any crimes involving moral turpitude or crimes punishable by over two years in prison. Any misdeclaration on the application may result in license cancellation and firearm confiscation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 2

    INDIVIDUAL APPLICATION FOR LICENSE TO OWN AND POSSESS FIREARM

    INDIVIDUAL APPLICATION FOR LICENSE TO OWN AND POSSESS FIREARMS


    (LTOPF)
    (To be filled out by FEO Personnel only)
    LICENSE CONTROL No.: - - - TYPE OF APPLICATION:
    ✔ NEW
    RENEWAL
    TYPE OF LICENSE: TYPE 1 TYPE 2 TYPE3 TYPE 4 TYPE 5

    OTHER LICENSE/S: Sports Shooter Antique Firearm Collector Gun Collector

    Month
    Day Year
    (To be filled out by Applicant completely and legibly)
    DATE : / /
    PERSONAL INFORMATION

    Last Name: L O R E N Z O
    First Name: R O M M E L
    Middle Name: Z U B I R I Qualifier:

    E-Mail Address: Le m m o r _ 2 4 1 1 l o r e n z o @ y a h o o . c o m
    Place of Birth: M A N I L A
    Day Month Year
    Date of Birth: 2 4 / 1 1 / 1 9 7 9 Gender: M F

    Mobile No.: + 6 3 9 3 6 9 35 1 0 4 6 TIN: - -

    Primary Address: Telephone No.: ( )

    Unit No./Bldg: P h a s e 2 b l o c k 1 1 L o t 2 1
    Street/Brgy: F V R b a r a n g a y P o b l a c i o n 5
    City/Municipality: C a v i t e G e n m a r i a n o a l v a r e z
    Region: r e g i o n 4 A Postal Code: 4 1 1 7
    Next of Kin:
    Last Name L O R E N Z O
    First Name R O D O L F O
    Middle Name P A R I N A

    Mobile No.: + 6 3 9 3 6 9 3 5 1 0 4 6 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
    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.

    Rommel Z. Lorenzo
    2” X 2”
    Signature above printed name I.D. Photo
    (White Background)
    SUBSCRIBED AND SWORN to before me this day of 20
    Original Photo Only
    applicant exhibited to me his/her competent evidence of identity issued by No Photocopy
    , bearing ID No. on 20 . No Scanned

    Doc. No.:
    Page No.:
    Book No.:
    Series of 20
    NOTARY PUBLIC RIGHT THUMBMARK
    (Roll thumbprint from left to right)
    FEO-ILS-LTOPF-r2017-
    amx

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