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- [divbox=white][center][flb][/flb][b][size=110]
- T2 CCWP Application Form 1.B04[/size][/b][/center][/divbox][divbox=Black][/divbox][divbox=White][size=65]Firearm permit application format, last updated as of the 4th of February, 2017. Developed by the Firearms Licensing Division of the Los Santos Police Department in accordance with the laws and acts set forth by the Superior Court of San Andreas.[/size][hr][/hr][b][size=90](Applicant Information)[/size][/b]
- [b]Title:[/b] (Dr, Mr, Mrs, Ms, etc.)
- - Mr.
- [b]Name:[/b] (Last, First Middle)
- - Provacci Doni
- [b]Date of Birth:[/b] (DD/MM/YYYY)
- - 21/08/1995
- [b]Hair Color:[/b]
- - Dark Brown
- [b]Eye Color:[/b]
- - Brown
- [b]Height:[/b]
- - 181CM
- [b]Weight:[/b]
- - 85KG
- [b]Sex:[/b] (Male/Female)
- - Male
- [b]Social Security Number:[/b] (( Fingerprint from UCP ))
- - 05BD0EAD9623945782BFEA86B37DA7AC
- [b]United States Citizen:[/b] (Yes/No)
- - Yes
- [spoiler="IF NO"][b]Country of Citizenship:[/b]
- - N/A
- [b]Alien Registration:[/b] (( Fingerprint from UCP ))
- - N/A[/spoiler]
- [b]Primary Address:[/b]
- - Pasadena Boulevard Garage, Los Santos, San Andreas [138]
- [b]Secondary Address:[/b]
- - N/A
- [b]Telephone Number(s):[/b]
- - 719610
- [hr][/hr][b][size=90](Applicant Employment History. Create additional fields as necessary)[/size][/b]
- [b]Current Employment:[/b]
- [spoiler][b]Business Name:[/b]
- - Los Santos Police Department
- [b]Business Address:[/b]
- - Pershing Square, Los Santos, San Andreas [1158]
- [b]Business Telephone:[/b]
- - 911 & 311
- [b]Position within Business:[/b]
- - Police Officer II
- [b]Dates of Employment:[/b]
- - 16/06/2017
- [b]Current Supervisor's Name:[/b]
- - Rick Cole[/spoiler]
- [b]Current Employment:[/b]
- [spoiler][b]Business Name:[/b]
- - Los Santos Motorsport Association
- [b]Business Address:[/b]
- - Los Santos Motorsport Association, Los Santos, San Andreas [2855]
- [b]Business Telephone:[/b]
- - 2020
- [b]Position within Business:[/b]
- - Event Marshall
- [b]Dates of Employment:[/b]
- - 15/04/2017
- [b]Current Supervisor's Name:[/b]
- - Dean Baxter[/spoiler]
- [b]Past Employment:[/b]
- [spoiler][b]Business Name:[/b]
- - Metro Public Safety, RPMF
- [b]Business Address:[/b]
- - State here, format: Base Of Operations #1, Los Santos, San Andreas [1691]
- [b]Business Telephone:[/b]
- - 1055
- [b]Position within Business:[/b]
- - Security Supervisor
- [b]Dates of Employment:[/b]
- - 17/11/2016
- [b]Past Supervisor's Name:[/b]
- - Mike Finnigan[/spoiler]
- [spoiler][b]Business Name:[/b]
- - BlackHawk Tactical Solutions, RPMF
- [b]Business Address:[/b]
- - State here, format: Base Of Operations #1, Los Santos, San Andreas [1691]
- [b]Business Telephone:[/b]
- - 1055
- [b]Position within Business:[/b]
- - Lance Corporal
- [b]Dates of Employment:[/b]
- - March of 2017 ( Unable to recall the exact date )
- [b]Past Supervisor's Name:[/b]
- - Charlie Carter[/spoiler]
- [spoiler][b]Business Name:[/b]
- - SL Distribution, SLI
- [b]Business Address:[/b]
- - State here, format: SL Distribution Depot, Los Santos, San Andreas [2791]
- [b]Business Telephone:[/b]
- - 5150
- [b]Position within Business:[/b]
- - Courier
- [b]Dates of Employment:[/b]
- - 19/10/2016
- [b]Past Supervisor's Name:[/b]
- - John Maravelli[/spoiler]
- [hr][/hr][b][size=90](Personal Information)[/size][/b]
- [b]Spouse/Domestic Partner:[/b] (Last, First Middle)
- - Rhodes Madison
- [b]Sex:[/b] (Male/Female)
- - Female
- [b]Date of Birth:[/b]
- - 20/02/1993 (DD/MM/YYYY)
- [b]Primary Address:[/b] (if different than applicant)
- - #2 St. James Street
- [b]Telephone Number(s):[/b]
- - 577902
- [b]Applicant Screening:[/b]
- [spoiler][i][size=85]If you answer yes to any of the following questions, please provide an explanation as to the context of the situation including any involved agencies, dates, places, etc.[/size][/i]
- [b]Have you ever been arrested, cited, or charged with an offense, including traffic violations?[/b]
- - No.
- [b]Do you have, or have a history of, any physical or mental disabilities that would affect your capabilities in the safe handling of tier-two weapons?[/b]
- - No.
- [b]Have you ever been determined by a court to be a danger to others or been committed to any mental institution?[/b]
- - No.
- [b]Have you ever abused alcohol or drugs?[/b]
- - No.
- [b]Have you ever received an other-than-honorable discharge from the armed forces?[/b]
- - No.
- [b]Have you ever been associated with a person or business with a firearms permit?[/b]
- - If you count in LSPD, yes.[/spoiler]
- [hr][/hr][b][size=90](Relevance Section)[/size][/b]
- [b]CCWP Variant:[/b]
- [ x ] Civilian
- [ ] Law Enforcement Officer
- [ ] Retired LEO (LEOSA)
- [b]If former LEO:[/b] state Department, Rank, and Date of Discharge.
- [b]Properties:[/b] (Zoning, address, and zip code+4 (( interior ID )) )
- - Pasadena Boulevard Garage, Los Santos, San Andreas [138]
- [b]Vehicles owned:[/b] (Make, model, year, plates and VIN)
- - 2017 Nissan GT-R Premium | "WNGN0000" | 26108
- - 2015 Mercedes-Benz C63 AMG Coupe | "SD5 2150" | 22913
- - 2008 Nissan 350Z (Rocket Bunny) | "FLEXIN" | 18569
- - 2010 Ferrari 458 Italia | "NOT MINE" | 2447
- - 2014 Ford F-150 SVT Raptor | "RAPTOR" | 18850
- [b]Why are you applying for a tier-two firearm permit?[/b] [i](Must not be a simple single-world or one sentence response, must explain the situation for why you're applying entirely. Minimum 150 words.)[/i]
- - The main reason to why I am applying for a Tier Two Firearm Permit would be rather hunting of which I possess the license of. I have a few friends who often ask me if I'd like to join them in hunting and they possess valid Tier Two Firearm Permits, meaning they can fully prepare for hunting not only with fitting rifles but attachments as well (8x zoom hunting rifle scopes and such) so it would be easier to spot out the animal from bigger distance to not spook them off. Another, less important reason, would be that I am joining a security firm which is Merryweahter Security Consulting in which we'd be taking high-risk jobs which would (or rather possibly) require a more serious arm than a 9mm pistol which Tier Two Firearm Permit would allow me to do, taking under my wing, let's say, a sub-machine gun which is simple to conceal as Tier One Concealed Carry Weapon Permit does not allow as it would be an automatic or burst-fire weapon.
- [b]References:[/b]
- [spoiler][b]1st Reference Name:[/b]
- - Mike Finnigan
- [b]Telephone Number:[/b]
- - 327519
- [b]Address:[/b]
- - RPMF Inc., Little Mexico, Los Santos, San Andreas
- [b]2nd Reference Name:[/b]
- - Emilio Moretti
- [b]Telephone Number:[/b]
- - 386739
- [b]Address:[/b]
- - #2 Wells Street, Commerce, Los Santos, San Andreas[/spoiler][/divbox][divbox=Black][/divbox][divbox=white][size=110][b]LSPD T2 FIREARM PERMIT - TERMS OF AGREEMENT[/b][/size]
- [size=75]The Los Santos Police Department, henceforth referred to as the LSPD, is officiated to register, distribute, regulate and maintain CCWP Holders. All CCWP Applicants, henceforth referred to as 'applicants,' agree to acknowledge and abide by the following terms of licensing, as well as those of the tier-one firearm permit:
- • If issued a tier-two firearm permit for hunting purposes, you should ensure that the firearm is solely used for hunting and avoid any use of it in an alternative mean; if caught using a hunting firearm for other purposes there may be ramifications presented on your firearm permit standing.
- • If requesting a firearm permit for use as a private security company contractor, employee, or other designated authority within the private security company do not use this application format to request a tier-two firearm permit. Requesting a private security company tier-two with this application format will result in denial; the correct format can be attained by having upper-management from the designated private security company contacting the LSPD in order to establish a company database for firearms and ensure cooperation, transparency, and rapid processing.
- • If issued a tier-two firearm permit as a current law enforcement officer, you are responsible for informing the LSPD of when your employment has been terminated in order to properly cancel the permit. Failure to properly inform the LSPD of such actions may result in a monetary penalty, arrest warrant, or other such repercussions as deemed necessary by the Superior Court of San Andreas or the Chief of Police.[/size][/divbox][divbox=Black][/divbox][divbox=white][size=110][b]LSPD T2 FIREARM PERMIT - DECLARATION OF ACKNOWLEDGEMENT[/b][/size]
- [size=75]I declare that I have read, agree to abide by, and am aware of all the firearm laws of Los Santos, San Andreas. I will follow, at all times, all of the rules and regulations of the Concealed Carry Weapon Permit and have read, understood, and agree to abide by the Terms of Agreement. I understand that if the permit is issued to me, I take full responsibility of it and my actions with it. I understand that all fees that are being paid for the processing of this permit are nonrefundable. I am aware that any misuse of my firearm may result in legal repercussions against me and can have consequences for my CCWP standing. I agree and am aware that the LSPD may conduct extensive background checks in any way the LSPD feels necessary in the course of this application or after as far as the LSPD deems it required.
- I hereby declare that I have read, understood and agree to abide by all of the rules and regulations for the CCWP and that I will abide by all laws, rules and regulations set forth to regulate it.
- [b]Signature:[/b] [img]http://i.imgur.com/YsiayQE.png[/img]
- [b]Date:[/b] 09/08/2017[/size][/divbox][divbox=Black][/divbox][divbox=white][b](( OOC INFORMATION ))[/b]
- [b]Ingame Account Name:[/b] EKWorks
- [b]OwlGaming Community Forum Account Name:[/b] EKWorks
- [b]List the names of all your alternative characters, Dead/Alive/Deactivated:[/b] (Do not use a screenshot for this)
- [b][i]ALIVE:[/i][/b]
- [spoiler]- Adam Thompson
- - Aurelijus Abromaitis
- - Sarah Fox
- - Vincas Kudirka
- - Tanner Lewis (( [b]VCT Character for DMV usage[/b] ))[/spoiler]
- [b][i]DEAD:[/i][/b]
- [spoiler]- Vladimir Volkov[/spoiler]
- [b][i]DEACTIVATED:[/i][/b]
- [spoiler]- Bunta Fujiwara
- - Vladimir Petrovic
- - Daiki Saito
- - Konstantinas Balsys[/spoiler]
- [b]Did you ever change your in-game or community forums account name?:[/b] No.
- [b]If you changed account name, list all previous to current account names:[/b] Ingame: N/A
- This will be verified, not listing account name changes may be punishable as an OOC lie.
- [b]Screenshot of /history (in-game):[/b] (Screenshot must be recent, not over 2 days old)
- [img]http://i.imgur.com/9It2Xuk.png[/img]
- [b]Screenshot of your characters /stats, in-game not the UCP:[/b] (you may censor unnecessary information)
- [img]http://i.imgur.com/hoG1eUJ.png[/img]
- [b]By submitting this application, I understand that leaving open or failure to fill one or multiple questions to its full extent may lead to denial of this permit application.[/b] (This means that you cannot partially answer questions, and have to take the questions fully as they are written answering them entirely) Yes. (do you understand?)[/divbox]
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