Selangor Shooting Association: (Passport Size Photographs)

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(PASSPORT SIZE

PHOTOGRAPHS)

SELANGOR SHOOTING ASSOCIATION


PERSATUAN MENEMBAK SELANGOR

VETTING PROCEDURE FROM USING FIREARMS IN THE COMPOUND OF


SELANGOR SHOOTING ASSOCIATION, SUBANG
(PENAPISAN UNTUK MENGGUNAKAN SENJATAPI DALAM KAWASAN
PERSATUAN MENEMBAK SELANGOR, SUBANG
1.

Full Name (aliases, if any)


(Nama penuh/Nama lain
jika ada)
Membership No.
No. Membership

2.

Name in Chinese Character (for Chinese


applicant)
Nama dalam tulisan Cina (untuk bangsa
Cina)

3.

Date/Place of
birth
Tarikh/Tempat
Lahir

4.

N.R.I.C No.
No. Kad
Pengenalan

5.

Male/Female
Lelaki/Perempu
an

6.

Occupation
Pekerjaan

7.

Residence Address (5 years


before)
Alamat Rumah (5 tahun
dahulu)

8.

Resident Address (present)


Alamat Rumah (sekarang)

9.

Present Office Address/Place of work/Name of


Company
Alamat Pejabat/Tempat berkejar
sekarang/Nama Pejabat

10.

Type of
Firearms
Jenis
Senjatapi

11.

12.

13.

14.

(Ne
w)
(Bar
u)

(Colour)
(Warna)

SELANGOR SHOOTING ASSOCIATION

Do you own any other Firearms?


Adakah, anda pernah memiliki Senjatapi
yang lain?
Have you got any other Firearms?
Adakah, anda pernah menggunakan senjatapi
yang dipohon?
Reasons for
application
Tujuan memohon

YES / NO

YES / NO

TARGET PRACTICE & COMPETITION

Have any of your application been rejected


(reasons)
Adakah permohonan anda pernah ditolak
(keterangan)

Date :
Tarikh

(Old)
(Lam
a)

YES / NO

SIGNATURE ( TANDATANGAN )

FOR OFFICIAL USE


(URUSAN RASMI SAHAJA)
Ketua Polis Daerah,
Petaling Jaya, Selangor.
i).
ii).

Permohonan tiada catitan buruk Cawangan Khas/Rekod Jenayah.


Permohonan mempunyai Catitan Cawangan Khas/Rekod Jenayah dan butir-butir dikembarkan.

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