Rm. 11-C Tower II, J. Bocobo, cor. Pedro Gil St., Malate, Metro Manila (GCAF,2) GUN CLUB AFFILIATION FORM We, the undersigned authorized officers of ___________________________________________________________________________ NAME OF GUN CLUB with office address at : ______________________________________________________________________________________________________________ No. and Street Name / Name of Building /Condo/Subdivision Barangay City / Province with firing range located at: ______________________________________________________________________________________________________________ Street Name /Subdivision Barangay City / Province LANDLINE No. : __________________________________ MOBILE No.:___________________________________ Contact Person: ___________________________________________________________ EMAIL ADDRESS: _________________________________________________________ hereby certify that our Gun Club is duly registered with the Securities and Exchange Commission with Reg. No._____________________ and that our Gun Club has a current recognition/accreditation with the PNP Firearms and Explosives Office. We hereby signify the intention of our gun club to affiliate with the Philippine Shooters and Match Officers Confederation and to abide by its rules and regulations. We have attached a copy of our SEC Registration Certificate; FEO Recognition/Accreditation; List of Current Officers with their office address, landline and mobile number, and email address; and List of Members. ___________________________________________________ PRINTED NAME & SIGNATURE OF GUN CLUB SECRETARY ___________________________________________________ PRINTED NAME & SIGNATURE OF GUN CLUB PRESIDENT ENDORSED BY: ___________________________________________________ PSMOC DISTRICT COORDINATOR APPROVAL RECOMMENDED BY: ____________________________________________________ PSMOC ZONE DIRECTOR APPROVED BY: _________________________________ PSMOC SECRETARY _________________________________________ PSMOC PRESIDENT Gun Club Affiliation Fee: 3,000 Pesos Individual Membership Fee: 500 Pesos Individual Annual Dues: 1000 Pesos Website: www.psmoc.org.ph Contact No.: (Globe) 09158150927 , (Sun) 09226904704 Email Address: [email protected] [email protected]
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