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[size=55][color=#FFFFFF].[/color][/size][/aligntable][aligntable=right,0,0,0,0,0,transparent][b]Los Santos Police Department Headquarters
1 Pershing Square, Los Santos
SA 97447


Firearms Licensing Division
San Andreas Guard Card
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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b]Section 1: Personal Information[/b][/size]

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[list][b]01. Surname:[/b] Banhloz
[b]02. Forename:[/b] Chiron

[b]03. City and County of Residence:[/b] Los Santos, Los Santos
[b]04. Country of Citizenship:[/b] United States of America
[b]05. Date of Birth:[/b] 01/JAN/1989

[b]06.[/b] [color=#2E5894][b][IF US][/b][/color] [b]City, County, State of Birth:[/b] Los Santos, Los Santos, San Andreas
[b]07.[/b] [color=#2E5894][b][IF NON-US][/b][/color] [b]City, Country of Birth:[/b] N/A

[b]08. Height:[/b] 6' 20"
[b]09. Weight:[/b] 210 lbs.
[b]10. Eye Color:[/b] Blue.
[b]11. Hair Color:[/b] Black.
[b]12. Gender (tick):[/b] Male [cbf][/cbf] Female [cb][/cb]
[b]13. Race (tick):[/b] White [cbf][/cbf] Black [cb][/cb] Hispanic [cb][/cb] Asian [cb][/cb] Other [cb][/cb]

[b]14. Residence Address:[/b] 427 Winona Avanue, Idlewood, Los Santos 415, San Andreas.
[b]15. Contact Number:[/b] 567890
[b]16. Occupation:[/b] Unemployed
[b]17. Business/Employer Name:[/b] N/A

[b]18. Link to Accepted PF Application:[/b] [url=http://pd.lsgov.us/forum/viewtopic.php?f=2069&t=215898&p=1474803#p1474803]ACCESS[/url]
[b]19. Link to Accepted CCW Application (if applicable):[/b] [url=http://pd.lsgov.us/forum/viewtopic.php?f=2069&t=216255&p=1477542#p1477542]ACCESS[/url]
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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b]Section 2: Description of Weapons[/b][/size]

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[list][b]List below the weapons (handguns only) you desire to carry if granted a Guard Card. You may carry only the weapon(s) which you list and describe herein, and only for the purpose indicated. Any misuse will cause an automatic revocation and possible arrest. (Use additional pages if necessary.)[/b]

[b][u]1.[/u][/b] Glock 17, 9mm.
[b][u]2.[/u][/b] N/A
[b][u]3.[/u][/b] N/A
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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b]Section 3: Rules and Restrictions[/b][/size]

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[list][b]The licensee is responsible for all liability for, injury to, or death of any person, or damage to any property which may result through any act or omission of either the licensee or the agency that issued the license. In the event any claim, suit, or action is brought against the agency that issued the license, its chief officer or any of its employees, by reason of, or in connection with any such act or omission, the licensee shall defend, indemnify, and hold harmless the agency that issued the license, its chief officer or any of its employees from such claim, suit, or action.

The licensee authorizes the licensing agency to investigate, as they deem necessary, the licensee’s record and character to ascertain any and all information which may concern his/her qualifications and justification to be issued a guard card and release said agency of any and all liability arising out of such investigation.

While exercising the privileges granted to the licensee under the terms of this license, the licensee shall not, when carrying a weapon:

[list]• Violate any of the license usage or prohibition criteria guidelines
• Consume any alcoholic beverage.
• Be in a place having a primary purpose of dispensing alcoholic beverages for on-site consumption.
• Be under the influence of any medication or drug, whether prescribed or not.
• Refuse to show the license or surrender the weapon to any peace officer upon demand.
• Impede any peace officer in the performance of his/her duties.
• Present himself or herself as a peace officer to any person unless he or she is, in fact, a peace officer as defined by San Andreas law.
• Unjustifiably display a concealed weapon.
• Carry a concealed weapon.
• Carry a weapon at times or circumstances other than those specified in the permit.[/list]

Pursuant to U.S. Government Code – Title 49, Chapter 26, Section 1472(1) and Federal Aviation Regulation 121.583, a license to carry a concealed weapon does not authorize a person to carry a firearm or any dangerous weapon aboard commercial airlines. Further, a person must declare that he/she is carrying such firearm or dangerous weapon BEFORE entering the boarding area of an air terminal where the security checks are made. Such violation can result in arrest by law enforcement.

Any violation of these restrictions or conditions may invalidate the CCW license and may void any further use of the license until reinstated by the licensing authority. Any arrest for a felony or serious misdemeanor, including driving under the influence of alcohol and/or drugs, is cause for invalidating the license.

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I hereby accept and assume all responsibility and liability for, injury to, or death of any person, or damage to any property which may result through any act or omission of either the licensee or the agency that  issued the license. In the event any claim, suit or action is brought against the agency that issued the license, its chief officer or any of its employees, by reason of, or in connection with any such act or omission, the licensee shall defend, indemnify, and hold harmless the agency that issued the license, its chief officer or any of its employees from such claim, suit, or action.

I understand that the acceptance of my application by the licensing authority does not guarantee the issuance of a license and that fees and costs are not refundable if denied. I further understand that if my application is approved and I am issued a guard card, that the license is subject to restrictions placed upon it and that misuse of the license will cause an automatic revocation and possible arrest and that the license may also be suspended or revoked at the discretion of the licensing authority at any time. I am aware that any use of a firearm may bring criminal action or civil liability against me.

I have read, understand, and agree to the GC liability clauses, conditions, and restrictions stated in this Application and Agreement to Restrictions and to Hold Harmless.[/b]

[b]Signature:[/b] Chiron Banhbao

[b]Print Name:[/b] CHIRON BANHBAO

[b]Date:[/b] 23/MAY/2017[/list]

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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b]Section 4: Certification of Understanding[/b][/size]

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[list][b]I hereby give permission to the agency to which this application is made to conduct a background investigation of me and to contact any person or agency who may add to or aid in this investigation. I further authorize persons, firms, agencies and institutions listed on this application to release or confirm information about me and statements I have made as contained in this application.

Notwithstanding any other provision of law and pursuant to the Public Records Act (Government Code section 6250 et seq.), I understand that information contained in this application may be a matter of public record and shall be made available upon request or court order.

I hereby certify under penalties of perjury that the answers I have given are true and correct to the best of my knowledge and belief, and that I understand and agree to the provisions, conditions, and restrictions herein or otherwise imposed.[/b]

[b]Signature:[/b] Chiron Banhbao

[b]Print Name:[/b] CHIRON BANHBAO

[b]Date:[/b] 23/MAY/2017[/list]

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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b](( Section 5: Out of Character ))[/b][/size]

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[list][b]01. Screenshot of Character Level:[/b] [url=http://imgur.com/bhClQ8f]ACCESS[/url]

[b]02. Screenshot of Streetname (/myhouse or /streetname):[/b] [url=http://imgur.com/bhClQ8f]ACCESS[/url]

[b]03. LS:RP Forum Name:[/b] [url=http://forum.ls-rp.com/memberlist.php?mode=viewprofile&u=261493]AishaCollins[/url]
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