PSMOC REG FORM.cdr
Room 11-C Robinson Tower II, J. Bocobo street corner Pedro Gil street, Malate, Manila Room 11-C Robinson Tower II, J. Bocobo street corner Pedro Gil street, Malate, Manila Website: www.psmoc.org.ph Contact No.: (Globe) 09158150927, (Sun) 09226904704 Website: www.psmoc.org.ph Contact No.: (Globe) 09158150927, (Sun) 09226904704 Email Address: [email protected] [email protected] REGISTRATION FORM FOR HANDGUN REGISTRATION FORM FOR HANDGUN Shooter’s # Date: Shooter’s PIN # Shooter’s PIN # Shooter Name: Address: Address: Email Add: Shooter’s # Date: Shooter Name: Cell #: Email Address: [email protected] [email protected] Cell #: Email Add: FIREARM DIVISION FIREARM DIVISION Unlimited Division Stock Hi-Cap Division Single Stock Division Unlimited Division Stock Hi-Cap Division Single Stock Division Limited Division Double Action/Striker Fired Revolver Division Limited Division Double Action/Striker Fired Revolver Division Junior Category Super Senior Category Senior Category Junior Category Super Senior Category Senior Category Lady Category Lawman Category Match Officer Lady Category Lawman Category Match Officer Civillan Active Match Officer International Civillan Active Match Officer International CATEGORIES CATEGORIES FIREARM INFORMATION FIREARM INFORMATION KIND MAKE MODEL KIND MAKE MODEL CALIBER F/A LICENSE # SERIAL # CALIBER F/A LICENSE # SERIAL # WAIVER WAIVER I HEREBY WAIVE ANY AND ALL CLAIMS OF WHATEVER NATURE AND IN WHATEVER FORM AGAINST __________________________________________ ITS OFFICERS, MEMBERS, PERSONNEL, COMPETITION ORGANIZERS, STAFF, RANGE OFFICIALS AND PARTICIPANTS, THAT MAY RAISE FROM MY VOLUNTARY PARTICIPATION IN THIS COMPETITION. I FURTHER AGREE TO ABIDE BY ALL FIREARMS SAFETY RULES AND REGULATIONS AND PROCEDURES GOVERNING THE CONDUCT OF COMPETITION. I FULLY UNDERSTAND THAT FAILURE TO COMPLY WITH ANY RULES AND REGULATIONS AND PROCEDURE WILL RESULT IN MY DISQUALIFICATION FROM THE COMPETITION AND / OR REMOVAL FROM THE COMPETITION GROUND. I HEREBY WAIVE ANY AND ALL CLAIMS OF WHATEVER NATURE AND IN WHATEVER FORM AGAINST __________________________________________ ITS OFFICERS, MEMBERS, PERSONNEL, COMPETITION ORGANIZERS, STAFF, RANGE OFFICIALS AND PARTICIPANTS, THAT MAY RAISE FROM MY VOLUNTARY PARTICIPATION IN THIS COMPETITION. I FURTHER AGREE TO ABIDE BY ALL FIREARMS SAFETY RULES AND REGULATIONS AND PROCEDURES GOVERNING THE CONDUCT OF COMPETITION. I FULLY UNDERSTAND THAT FAILURE TO COMPLY WITH ANY RULES AND REGULATIONS AND PROCEDURE WILL RESULT IN MY DISQUALIFICATION FROM THE COMPETITION AND / OR REMOVAL FROM THE COMPETITION GROUND. IN WITNESS, I HAVE HEREUNTO AFFIXED MY SIGNATURE THIS__________________________ 20________ AT______________________________, PHILIPPINES. IN WITNESS, I HAVE HEREUNTO AFFIXED MY SIGNATURE THIS__________________________ 20________ AT______________________________, PHILIPPINES. Shooter’s Signature Shooter’s Signature
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