Date :

PERSONAL DATA

BIO DATA
KINDLY FILL UP THE BIO DATA PAGE COMPLETELY

ID PICTURE
2x2
White
background

Name :

First Name : _________________________________

Middle Name : _________________________________
Last Name : __________________________________
Occupation : _________________________________________
Field : __________________
Email address : _______________________________________
City Address :____________________________________________________
Tel No. / Cel No._____________
Provincial Address : _______________________________________________
Tel No. / Cel No._____________
Length of Stay in present address: _________________
Date of Birth _____ /____ /_______
Place of Birth _______________
Height : ____________________
Weight : ________________ Religion : _______________
Marital Status : _____________________ Sex : M / F
Fathers Name : _____________________________________________ Contact Details:_______________________
Occupation : ____________________________________________________________________________________
Mothers Name : _____________________________________________Contact Details: ______________________
Occupation : ____________________________________________________________________________________
Parents Address : ________________________________________________________________________________
Language / Dialect Spoken & Written : ________________________________________________________________
Name of Spouse :___________________________________Age : ________ Date of Birth:___________________
Address : _______________________________________________________________________________________
Name of kids
Ages
____________________________
________
____________________________
________
____________________________
________

EDUCATIONAL ATTAINMENT:

ADDRESS

YEAR ATTENDED

Elementary : ____________________________
_______________________________
__________
High School : ____________________________
_______________________________
__________
Vocational : _____________________________
_______________________________
__________
College / Course : ________________________
_______________________________
__________
EMPLOYMENT
Profession: __________________________________ Position:_____________________________
Name of Company / Office :___________________________________________________________
Address: ______________________________________ Tel No: ____________________________
CRIMINAL RECORD:
Accused / Convinced : ( ) YES ( ) NO
If YES Nature of offense and outcome _____________________________
FIREARMS POSSESION
Any previous firearms possession ( ) YES ( ) NO
For what firearms: _________________________
License Approved ( )
Disapproved ( )
Cancelled ( )
Suspended ( )
Employment Record :
Name of Company
Address
Position
year
______________________________________ _____________________ ______________ ________
______________________________________ _____________________ ______________ ________
_____________________________________ _____________________ ______________ ________
Character References
Name
Address
Position
Tel No
Cell No
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Thumbmark
Res Certificate Number Passport
Place / Date Issued
SSS# :
Tin# :

I hereby certify that the above information is true and correct to

the best of my knowledge and belief

NBI# :
APPLICANT:S SIGNATURE

Authorization
This will authorize Mr. / Ms. ______________________________________ , of legal age, Filipino Citizen , Married /
Single , a resident of
_______________________________________________________________________________________________
_______________________________________________________________________________________________
____________ who is known to me as _____________________________________
To perform the following acts ;
1. To personally file with the PNP Firearms and Explosive Division my application for a firearm license together with
the supporting documents which I have prepared or caused to be prepared
2. To personally pay the PNP - Firearms and Explosive Division , The Firearms License Fee and other fees that may
be imposed in connection with the said application for Firearms License
Done at _______________________________ this _________day of __________ year ________

Signature Over Printed Name

Applicant
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Acceptance / Consent
I, ___________________________________________ of Legal Age , Married / Single, a resident of
_____________________________________________________________________________
A dealer / representative of A dealer / representative of GUN TECH INTERARMS,
with postal address at 643 Pilapil St., Tondo, Manila , do hereby accept my appointment as the authorize agent of do
hereby accept my appointment as the authorize agent of
___________________________________________________ , who represent to me that he / she prepares , or
caused to be prepared, the attached application form Firearms License and its supporting documents for which he / she
is the named applicant. By these presents, I hereby express my consent to perform the acts so designated and accept
the concomitant responsibility to faithfully protect, to the best of my ability and resources, the integrity of the documents
from any anomaly that may arise there from.
IN WITNESS WHEREOF , I have affixed my signature below this ____day of ____,year_____.

GUN TECH INTERARMS

Signature Over Printed Name
Dealer / Representative
SUBSCRIBED AND SWORN to before me this _ day of ______ year ________.

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NOTARY PUBLIC

INFORMATION SHEET
Personal Data

First Name : __________________________________________________________________________

Middle Name; __________________________________________________________________________
Last Name;
__________________________________________________________________________
Date of Birth: ___________________________ Place of birth : ___________________________
Citizenship;_________________________ Sex; _____________ Marital Status: ____________
Residential Address:_______________________________________________________________________
Length of Stay in present address : _______________
Provincial Adress:_________________________________________________________________________
Previous / Other Addresses: _________________________________________________________________
___________________________________________________-____________________________________
Name of Spouse:__________________________________________________________________________
Next of Kin: ( if single ) : _____________________________________________________________________
Name and Ages of Children if any:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_____________________________________________________
EMPLOYMENT :
Profession : _________________________________________Position : ____________________
Name of Company / Office :_______________________________________________________
Address : ______________________________________________ Tel No.,__________________
CRIMINAL RECORD :
Accused / Convicted of any Crime ? ( ) YES ( ) NO
When and Where Filed? ____________________________________________________
Nature of offense and outcome ______________________________________________
Name and Address of three ( 3 ) non relative Character References : Tel No.
______________________________________________________ _________________________
______________________________________________________ _________________________
______________________________________________________ _________________________
FIREARMS POSSESION
Any previous Firearms application ? YES ( ) NO ( )
For what firearms __________________________________________________________
License Approved ( )
Disapproved ( ) Cancelled ( )
Suspended ( )
CERTIFICATION
I HEREBY CERTIFY THAT all the foregoing statement replies and answers on this information sheet are true
and correct.
LEFT MARK
THUMB

RIGHT THUMB
MARK

ID
PICTURE

Signature of Applicant
Date _______________

SUBSCRIBED AND SWORN to before me this ___ day of ______ year ________ applicant exhibited to me his/her
Residence Certificate No._____________________ issued __________ on
_______________________________________
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NOTARY PUBLIC

REPUBLIC OF THE PHILIPPINES

APPLICATION TO POSSES FIREARMS
Under Section 887,Revised Representative
Code & General Orders Nos. 7, 7-A & 7-B
Pursuant to Proclamation No. 1081

--------------------------------------Date
THE DIRECTOR GENERAL, PNP
Camp Crame, Quezon City
I,________________________________________________years ,born in_________________________
A citizen of the ________________________________________________for the past__________years
By occupation______________________________________residing at __________________________
And w/ one mailing address is___________________________________________________________
Request authority to hold in my possession ( or th e require and hold for the)
Purpose of ____________________________________ the following described firearm/s and
Ammunition.
FIREARMS
KIND

AMMUNITION
MAKE

SERIAL NUMBER

CALIBER

QTY

Certificate of Deposit in the Phil. Post Savings Bank duly endorsed or bond
For ________________________________________________is here to attached.
That I hereby covenant and agree that I will, safely keep the above firearm/s
And will comply faithfully with all the laws, rules and regulations relating firearm/s
Which is now , or hereafter may be in force.
______________________
(Applicant)
Residence Certificate No. ______________________________ is issued at_______________
On the ______________________day of _____________________, 20_________
NOTE: One 30 centavos documentary stamps must accompany this applicant but
Do not affix.
PNP No. 2
(Revised under PD 1081)

REPUBLIC OF THE PHILIPPINES

PROVINCE OF
----------------------------------------------

A F F I D AVI T
I,______________________________________ of legal age,______________________citizen
Married / single/ widow/widower with permanent address at
______________________________________________________________________________
__________________________________________________________after have been duly
Sworn to the accordance with the law do hereby depose and says.
That I have no pending administrative or civil case in any military / civil court in the Philippines: and
That this affidavit is being executed in connection with my application to posses firearms(s)
.

IN WITNESS WHEREOF , I have affixed my signature below this ____day of ____,year_____.

Residence Certificate No. ______________________________ is issued at_______________
On the ______________________day of _____________________, 20_________

Signature Over Printed Name

SUBSCRIBED AND SWORN to before me this _ day of ______ year ________.

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CERTIFICATION
Date :
This is to certify that I _____________________________________________ resident of
________________________________________________
Has received the following unit(s) in good order and condition
Quantity :
Description :
Kind :
Make :
Caliber :
Serial Number :
PTT Control Number :
Admin Control Number # IB
License #
Date Issued :
Control No :

Expiry Date :

Signature over Printed Name

SUBSCRIBED AND SWORN to before me this _ day of ______ year ________.

Doc No.
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NOTARY PUBLIC