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)
TYPE OF APPLICATION:
LICENSE CONTROL No.: - - -
NEW
RENEWAL
TYPE OF LICENSE: TYPE 1 TYPE 2 TYPE3 TYPE 4 TYPE 5
OTHER LICENSE/S: Sports Shooter Antique Firearm Collector Gun Collector
Day Month Year
(To be filled out by Applicant completely and legibly)
DATE : 0 5 / 1 1 / 2 0 1 8

PERSONAL INFORMATION
S I N C O
Last Name:
First Name: J U L I U S C E A S A R

Middle Name: P A R A C A D Qualifier:

E-Mail Address: j a y z _ c e e 2 0 2 0 @ y a h o o . c o m
Place of Birth: A P A R R I C A G A Y A N
Day Month Year
Date of Birth: 1 3 / 0 9 / 1 9 8 6 Gender: M ✔ F

Mobile No.: + 6 3 9 2 7 2 7 5 7 6 6 6 TIN: 9 4 8 - 7 7 0 - 5 7 1

Primary Address: Telephone No.: ( )

Unit No./Bldg: 1 1 2 P U R O K 2
Street/Brgy: P A T E N G
City/Municipality: G O N Z A G A
Region: C A G A Y A N Postal Code: 3 5 1 3
Next of Kin: Last Name S I N C O
First Name R U F I N O
Middle Name S A B A L A

Mobile No.: + 6 3 9 0 5 2 9 7 1 8 2 5 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 _________________
Medical Intern

CERTIFICATION AND UNDERTAKING

I hereby certify that, pursuant to the provisions of Republic Act 10591, all statements 2” X 2”
provided herein are true and correct. Further, I certify that I have not been convicted of any crime I.D. Photo
involving moral turpitude, nor have I been convicted or am currently an accused in a pending (White Background)
Original Photo Only
criminal case for a crime that is punishable with a penalty of more than two (2) years. Any No Photocopy
misdeclaration/falsity stated in this application shall be a basis for the cancellation of my license No Scanned
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.

JULIUS CEASAR P. SINCO

_____________________________________
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.:________ Save to File Print this Form Clear Form
Book No.: _______
Series of 20______ Useful? Like TactiCooL on a Budget in Facebook ☺
RIGHT THUMBMARK
_______________________________
(Roll thumbprint from left to right)
NOTARY PUBLIC

FEO-ILS-LTOPF-r2017-amx