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- [divbox=white][color=transparent]spacer[/color]
- [center][size=130]LOS SANTOS POLICE DEPARTMENT
- FIREARMS LICENSING DIVISION
- ADMINISTRATIVE SERVICES BUREAU | OFFICE OF ADMINISTRATIVE SERVICES[/size]
- [img]http://i1143.photobucket.com/albums/n635/GeorgeForan/Los%20Santos%20Police%20Department/Office%20and%20Divisional%20Images/Personnel%20and%20Training%20Bureau/FLDsmall.png[/img]
- [size=130][b]STANDARD APPLICATION
- for
- LICENSE TO PURCHASE A FIREARM (PF)[/b][/size][/center]
- [hr][/hr]
- [u][size=120][b]SECTION 1 - APPLICANT PERSONAL INFORMATION[/b][/size][/u]
- [list][b][u]01.[/u][/b] Surname: Qayyum
- [b][u]02.[/u][/b] Forename: Muddaththir
- [b][u]03.[/u][/b] City and County of Residence: Los Santos, Los Santos, San Andreas
- [b][u]04.[/u][/b] Country of Citizenship: United States of America
- [b][u]05.[/u][/b] Date of Birth: 27/06/1955
- [b][u]06.[/u][/b] [color=#2E5894][b][IF US][/b][/color] City, County, State of Birth: N/A
- [b][u]07.[/u][/b] [color=#2E5894][b][IF NON-US][/b][/color] City, Country of Birth: Riyadh, Saudi Arabia
- [b][u]08.[/u][/b] Height: 6' 1"
- [b][u]09.[/u][/b] Weight: 195 lbs
- [b][u]10.[/u][/b] Eye Color: Hazel
- [b][u]11.[/u][/b] Hair Color: Brown
- [b][u]12.[/u][/b] Gender (tick): Male [cbf][/cbf] Female [cb][/cb]
- [b][u]13.[/u][/b] Race (tick): White [cb][/cb] Black [cb][/cb] Hispanic [cb][/cb] Asian [cb][/cb] Other [cbf][/cbf] [color=#E0218A]If other, specify here[/color]: Middle Eastern
- [b][u]14.[/u][/b] Residence Address: 1247 Ganton Rd
- [b][u]15.[/u][/b] Contact Number: 1407557
- [b][u]16.[/u][/b] Occupation: Mechanic
- [b][u]17.[/u][/b] Business/Employer Name: N/A
- [b][u]18:[/u][/b] Business Owner: Yes [cb][/cb] No [cbf][/cbf]
- [b][u]19:[/u][/b] Business Address: N/A
- [b][u]20.[/u][/b] Do you now possess a valid San Andreas driver's license? No [cb][/cb] Yes [cbf][/cbf] [/list]
- [hr][/hr]
- [u][size=120][b]SECTION 2 - DESCRIPTION OF WEAPONS[/b][/size][/u]
- [list][b][u]01.[/u][/b] What firearm(s) do you plan to purchase and restock regularly (List within specified fields below, maximum of THREE firearms):
- [list]
- [b][u]1.[/u][/b] Glock 17, 9mm
- [b][u]2.[/u][/b] Remington Model 870, 12 gauge
- [b][u]3.[/u][/b] Heckler & Koch SL7, .308 Win
- [/list]
- [b][u]02.[/u][/b] Where will the firearm(s) be stored? Home [cbf][/cbf] Business [cb][/cb]
- [list]If you have listed 'business', provide a link of proof of business ownership: N/A
- [/list]
- [b][u]03.[/u][/b] What is your purpose for obtaining a firearm license? (Check all that apply) Defense [cbf][/cbf] Sport [cb][/cb] Hunting [cbf][/cbf]
- [/list]
- [hr][/hr]
- [u][size=120][b]SECTION 3 - RULES AND RESTRICTIONS[/b][/size][/u]
- [list]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.
- I, Muddaththir Qayyum, hereby declare that I have read and understood the restrictions, and understand the consequences that follow should I violate the license rules and restrictions.
- [/list]
- [hr][/hr]
- [u][size=120][b](( SECTION 4 - OUT OF CHARACTER ))[/b][/size][/u]
- [list][b][u]01.[/u][/b] Screenshot of Character Level (/stats): [color=#E0218A][url=http://i.imgur.com/C5yy43G.png]ACCESS[/url][/color]
- [b][u]02.[/u][/b] License abuse is a serious issue, and is considered a [color=#2E5894][b][u]ban-worthy offence[/u][/b][/color]. You must only ever be in possession of ONE of each weapon you have applied for and can not mass store or stockpile weapons in any way whatsoever. You must also NOT give ANY firearm to ANY other individual for any purposes, for example, the sale of license-bought firearms. This includes storing firearms so that they may be willfully stolen by those you know.
- Please state below, in your own words (copying may lead to a ban from applying), that you are aware of these regulations and the consequences that will follow if they are violated:
- I understand the rules of having a PF License and the risk of being banned if abused. If I abuse it I accept the punishment of being banned. I'm not allowed and won't give my weapons to other people even if they are my friends, I will use the PF License for myself only. I won't store a bunch of weapons in a vehicle or house because that would lead a risk of them being stolen. Abusing the PF License will not be tolerated and I accept any punishment.
- [/list][/divbox]
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