A. PERSONAL INFORMATION
- A1. Full Name: Jayson Lang
A2. Date of Birth: 06/JAN/2002
A3. Phone Number: 3845273
A4. Residence Address: N/A
A5. Please attach a photocopy of your driver's licenses *Example*:
B. DESCRIPTION OF WEAPONS
- B1. Why do you wish to own a personal firearm license? (If selecting a Flare Gun please additionally explain the reasoning for this)
- I want to join the police force, and I need a weapon license in order to become a police officer.
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
- I plan on storing the pistol at home in a locked combination safe in my house when its at my house, or locked box in my car in the glove box. or if on my person, secured in my holster.
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: Jayson Lang
C2. Date Signed: 16/JUL/2002
D. (( OUT-OF-CHARACTER INFORMATION ))
- D1. Please upload a screenshot of your admin logs and character names *Example*:D2. Do you understand that applying for a firearms license for the sole purpose of delivering weapons to any of your other characters or friends of your other characters constitutes as metagaming & is also a violation of Eclipse RP's OOC trading/RMT rule?
Yes
