Beruflich Dokumente
Kultur Dokumente
No.___________________
Date: _________________
PERSONAL DATA:
Complete Name: _________________________________________________________________
Date of Birth: ______________________ Place of Birth: _________________________________
Residential Address: ______________________________________________________________
Citizenship: _______________ Sex: ____________ Marital Status:_________________________
Length of stay in present address: ______________________ Telephone No. ________________
Provincial Address: _______________________________________________________________
Provincial / Other Address: _________________________________________________________
Name of Spouse: ________________________________________________________________
Next of Kin (If single) : ____________________________________________________________
Name & Ages of Children (if any): ____________________________________________________
EMPLOYMENT:
Profession: _____________________________ Position: ________________________________
Name of Company/ Office: __________________________________________________________
Address: __________________________________________ Telephone No. _________________
Length of Service: __________________________________
CRIMINAL RECORD:
Accused/Convicted of any crime?
( ) Yes
( ) No
If yes:
When and where filed: ______________________________________________________
Nature of Offense and Outcome: ______________________________________________
Name and address of three (3) non-relative Character References:
________________________________________________________________
________________________________________________________________
________________________________________________________________
AIRSOFT DATA:
Kind
Make
Serial Number
Caliber/Power Factor
1x1
I D Photo
___________________
Applicants Signature
SUBSCRIBED AND SWORN to before me this _____ day of ______________ , 20___.
Applicant exhibited tome his/her Community Tax Certificate no. _______________ issued in
____________________________________ on _____________________________20___.
Doc No. __________
Page No. _________
Book No. _________
Series of _________
_________________________
Notary Public
______________________
Chief, FA Licensing Branch
CONCURRED
_______________________
Deputy Chief, FED
Approved
Disapproved
______________________
Chief, FED
CERTIFICATE OF REGISTRATION
THIS IS TO CERTIFY that the bearer, whose personal data, picture and thumb
mark appear below, is the registered holder of the following described AirSoft
(Rifle/Pistol).
TYPE OR PRINT:
Last Name :
First Name :
Middle Name
Address :
Occupation:
Tel. No.:
(
Date of Birth :
Place of Birth
2X2
PHOTO
)
/
TIN:
AIRSOFT INFORMATION
SOURCE OF AIRSOFT
KIND
MAKE/MODEL
______________________
Date Registered
____________________________
Signature Over Printed Name of Owner
Any erasures or alteration
hereon will invalidate
the document
SERIAL NO.
CAL./POWER FACTOR
__________________________________
Chief, FED
_____________________
Control No.
_________________
Date
KIND/MAKE
BARCODE
STICKER/ SERIAL
NUMBER
POWER FACTOR
(MAX. OF 550 FPS)
PELLETS