Maya Xavier[CHANGE REQUEST]

[Maya Xavier]

1. REQUESTEE DETAILS

• FULL NAME: Maya Xavier
  PHONE NUMBER: 5186015

2. FIREARM DETAILS

• Which firearm(s) are you currently licensed for?:
  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
    Flare Gun
  Which firearm(s) do you wish to be licensed for?:
  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
    Flare Gun
  If selecting a Flare Gun please additionally explain the reasoning for this:
  N/A

3. AMENDMENT PAYMENT

• Use this section to post the receipt of you paying the Amendment Fee of $2,500 to change your firearms license.
  
  Proof of Payment
  ► Show Spoiler

  (( Attach a screenshot of the /DonateGovernment message. Example image. ))
  
  

4. DECLARATION

• By signing and submitting this form you agree that the information provided is accurate and truthful. If the information provided is deemed to be false or inaccurate, you will be subject to receiving the criminal charges of GF07 - Fraud and GM12 - Giving False Information to a Police Officer. Your firearms license may also be revoked.
  
  SIGNATURE: Maya Xavier
  DATE: 10/MAY/2026