Weapon's Permit Application

Imperial Records Management, Coruscant

The following Imperial record has been transmitted to you via Intelligence relay 5525-K-2325-R: WARNING: Misuse of this communication is a violation of Imperial Law, Directive 3073-833-N, Subsection 220, Paragraph 6, Article (a) through (e) of Regulation 442, and subject to immediate imprisonment.


-Imperial Permit Form-


-Standard Information-


Full Name:

Species:

Gender:

Age:

Residence:

Identification Number (First Four Digits Only):


-Application Information-


Permit Grade:
(C1-Pistols C-2 Pistol and Carbines C-3 Pistols Carbines and Rifles C-4 Military Grade Weaponry)

Have you completed a weapon's safety course?: Y/N

If yes who was the instructor and where did this course take place?:

If not, do you wish to participate in an Imperial weapon's safety course?: Y/N


-Please Attach The Following-


Home Comlink Frequency:
((OOC Note: If you do not have a number for you comm oocly, put <<Attached>>))

Medical/Psychological Records:
((OOC Note: Put <<Attached>> or a link to the record, but list any disabilities/noted conditions your character has that's on record))


Signature:


Approved (Imperial Official Only):

If not, why (Official Only):

Official's Signature:

Note: A background check by Intelligence will take place after application retrieval. (Note any criminal records, active/non-active fines and warrants)