Shadowrun

Visa Application: Royal Scandinavian Federation

Applicant Name

Nationality

Race

Gender

Height

Weight

Age

Hair

Eyes

Purpose of Visit

Length of Visit

Starting Date

Region to Visit: (Mark All Applicable)
Sweden
Norway
Finland
Bornholm
Gotland
Scania
Jutland


Neighbouring Countries to Visit: (Mark All Applicable)
Germany
Poland
Russia
Lapland
Iceland
United Kindom
Transpolar Aleutic


Magically active: (Mark One) - Apply for License
Hermetic Mage - License
Shaman - License
Physical Adept - License
Sorcerous Adept - License


Brought Controlled Equipment/Enhancements: (Mark all applicable) - Apply for License
Class A Cyberware/Bioware - License
Class B Cyberware/Bioware - License
Class C Cyberware/Bioware - License
Class D Matrix - License
Class E Magic - License
Class A Equipment - License
Class B Equipment - License
Class C Equipment - License
Class A Controlled - License
Class B Controlled - License
Class C Controlled - License


Brought Arms/Armour: (Mark all applicable) - Apply for License
(A) Small Blade - License
(B) Large Blade - License
(C) Blunt Weapon - License
(D) Projectile - License
(E) Pistol - License
(F) Rifle - License
(G) Automatic Weapon - License
(H) Heavy Weapons - License
(J) Explosives - License
(K) Military Weapons - License
(L) Military Armour - License
(M) Military Ammunition - License


Home Bank

Local Bank

Amount brought

Insurance Provider

Insurance Policy

The voluntary use of the 'SecuriCollar' gives one level higher policy FREE!
Yes, sign me up!

Home Address

Local Address

Submitted records, forms and samples: (Mark All Aplicable)
Medical Record
Criminal Record
Paid Return Ticket
Valid 3D Picture
Finger Prints
Retina Scan Image
Voice Print
Voight-Kampff Magic Test
DNA Sample
Political Records
Employment Records
Travel Plan


Local Travel Agency


Signed

Password


Shadowrun is a Registered Trademark of Wizkids LLC and Fantasy Productions. Original Shadowrun material Copyright © 2003 by WizKids LLC Logo and FanPro Logo. All Rights Reserved. Used without permission. Any use of Wizkids LLC Corporation's and Fantasy Production's copyrighted material or trademarks in this file should not be viewed as a challenge to those copyrights or trademarks.

Royal Viking

1