INDIVIDUAL APPLICATION FOR FIREARM REGISTRATION
(To be filled out by FEO Personnel only)
TYPE OF APPLICATION:
REGISTRATION CONTROL No.:
-
-
-
NEW
RENEWAL
TRANSFER
(To be filled out by Applicant completely and legibly)
Day
Month
Year
DATE:
LICENSE CONTROL No.:
-
TYPE OF LICENSE:
OTHER LICENSE/S:
Sports Shooter
Antique Firearm Collector
Gun Collector
Last Name:
First Name:
Middle Name:
Qualifier:
Primary Address (1):
Telephone No.:
(
)
Unit No./Bldg:
Street/Brgy:
City/Municipality:
Region:
Postal Code:
Other Address (2):
Telephone No.:
(
)
Unit No./Bldg:
Street/Brgy:
City/Municipality:
Region:
Postal Code:
FIREARM/S INFORMATION
SOURCE OF FIREARM
KIND
MAKE
MODEL
CALIBER
SERIAL NUMBER
Address (1or2)
(Fill out separate sheet if necessary. For firearm/s with different address, please fill out on separate Registration Form/s.)
CONSENT OF VOLUNTARY PRESENTATION FOR INSPECTION
I hereby undertake to renew the registration of my firearm/s on or before the expiration of the same; that, pursuant to the provisions of
Republic Act No. 10591, I voluntarily give my consent and authorize the PNP to inspect my firearm/s described above at my
residence/address as indicated in my application and, to confiscate or forfeit the same in favor of the government for failure to renew my
firearm/s registration/s within six (6) months before the date of its expiration.
_____________________________________
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______
_______________________________
NOTARY PUBLIC
FEO-ILS-FAR-r2017-amx