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FIREARM SAFETY AND HANDLING COURSE EVALUATION <br />Part I <br />To be completed by Applicant <br />1. Applicant's full name: <br />2. weapon tested (must be the same as listed in application <br />Page 1, question 8): <br />Make <br />Caliber S <br />Serial Number <br />Length of barrel <br />Type (automatic revolver) <br />3. Please read and sign the next page, and give same to your <br />instructor. <br />Part II <br />To be completed by Course Instructor <br />The above named applicant has on this date completed the <br />Firearm Safety and Handling Course given by the <br />and my evaluation of the <br />applicant's proficiency is as follows (circle one and give <br />comments if other than satisfactory): <br />SATISFACTORY or <br />UNSATISFACTORY <br />Comments: <br />Instructor <br />Date: <br />-4- <br />