A. PERSONAL & BUSINESS INFORMATION
- A1. Full Name: Alialdeen Alsirhani
A2. Date of Birth: 08/JUN/2025 (i.e. 07/JAN/1997)
A3. Phone Number: 2376977
A4. Residence Address: 9 Great Ocean Hwy
A5. Business Name: Elite Services
A7. Please attach a link to the active business license: A8. Please attach a photocopy of your firearms license *Example*:
B. WEAPONS & USAGE INFORMATION
- B1. Why do you wish to own a Guard Card?
- To be able to protect others when I am not on duty with LSPD. I have a lot of experience in security and I believe I would make good use of a guard card.
Mark each box by changing [cb] to [cbc]
- Double-Action Revolver
Heavy Revolver
Heavy Revolver Mk II
Navy Revolver
Pistol
Pistol Mk II
Pistol .50
Heavy Pistol
Combat Pistol
SNS Pistol
SNS Pistol Mk II
Vintage Pistol
WM 29 Pistol
C. RULES AND RESTRICTIONS
- 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 license to carry a personal firearm and release said agency of any and all liability arising out of such investigation.
I hereby certify under penalties of providing a false statement 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.
I hereby declare that I have read and understood the Requirements & Regulations and understand the consequences that follow should I violate them.
C1. Signature: Alialdeen Alsirhani
C2. Date Signed: 08/JUN/2025
D. GUARD CARD PAYMENT
- This section is to submit your payment receipt for the non-refundable $25,000 Guard Card application fee.
((The screenshot image must show the chat box message of paying the government using /donategov *Example*))
POLICE OFFICER III+1
