firearms form 101

8/3/2019 Firearms Form 101

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Firearms Acts 1968 to 1997Application for aFirearm CertificateI am applying for (tick box which applies):the grant of a Firearm Certificatethe renewal of a Firearm Certificatethe variation of a Firearm Certificate

Firearms Form 101You should use this form to apply for the grant,renewal or variation of a firearm certificate underSection I of the Firearms Act 1968

Please read the notes on the back of this form carefullv beforecompleting this application.Write in BLOCK CAPITALS throughout except when signing.If you wish to provide any information further to the questions belowseparately to this form, you must sign and date that information.

ltrTPart A Personal details to be completed in all cases

1

2Title (Mr. Mrs. Ms. Dr etc.)Surname

3 Forename(s)If you have at any time used a name other than those quoted at 2and 3 above, please give details - if not write NONEOther sumame(if a married womon, give surname before mctrriage)

5 Other forename(s)6 Home address

Home telephone number

7 Height 8 Date of birth (DD/MM/YY)9 Place of Birth10 Nationality11 Occupation

12 Business address

13 lf you have lived at addresses other than that stated at 6 duringthe last five years enter them here

14 Have you been convicted of any offence (see notes to Part A)?On renewal or variation details need only be given of convictionssince the existing certificate was issuednon yesE If yes give details

15a Do you suffer from any medical condition or disability includingalcohol and drug related conditions?non yesl If yes give details15b Have you now, or have you ever had Epilepsy?noI yesn If yes give details15c Have you ever attended your present or a previous GeneralPractitioner (GP) for treatment of depression or any other kind ofmental or nervous disorder?,to n yes IL6 Please give details ofyour current GPName of GP

I hereby give permission for the policefactual details of my medical historyUsual signature of applicant

lf yes give details

Date

Address

to approach my GP to obtainDavtime teleohone numberost Code


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Part B Details of firearms and ammunitionL7 Give details of firearms in your possession at the time of this application:Calibre Type (including action) Maker's name

If none write NONE hereIdentification number

18 Give details of ammunition in your possession at the time of this application: If none write NONE hereCalibre Quantity Calibre Quantityalibre Quantity Calibre Quantity

L9 Give details ofeach firearm you wish to purchase, acquire or possess, the reasons for requiring each ofthem(details ofshooting disciplines etc), and where you intend to use each ofthem (other than those in 17)Calibre Type (eg rifle, muzzle-loadingpistol etc) Reason Where do you intend to use it (giving name and phonenumber of occupier or club secretary as applicable)?

20 Maximum amount of ammunition you wish to have in yourpossession at any one time (including expanding ammunitionand expanding missiles) Target shooting is no longer considereda good reason Lo possess expanding ammunition

2L Maximum amount of ammunition to be purchased or acquired atany one time (including expanding ammunition and expandingmissiles)Calibre Quantity Calibre Quantity Calibre Quantity Calibre Quantity


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Part C Storage of firearms and ammunition22 Give address of the location at which the firearms and ammuni-tion concemed are to be stored including details of any certificateholder sharins the storase facilities

Part E RefereesSee Notes to Part E on page 4Please give the names and addresses of the two people who haveagreed to be your referees:Name of 1st referee

22alf the guns are to be stored at the address given in question 6tick this box n22bIf the guns are to be stored in a British Standard gun cabinettick this box l-l

Part D Firearm and/or Shot Gun CertificatesIn the case of an application for renewal or variation of a firearmcertijlcate, details of the current certiificate should be provided.23 If you hold a current firearm certificate, give details and go to 25aExpiry date Issuing police force

24 If you have held a firearm certificate before, give details (if known)Expiry date Issuing police force

25a If you hold a current shot gun cefiificate, give detailsExpiry date Issuing police force

25b Do you wish to apply for a shot gun certificate which will expireat the same time as your firearm certificate (called a coterminous

Address of I st referee

Refereest declarationsI declare that -a to the best of my knowledge and belief the information given inanswer to questions 1 to 16 on page 1 is true; andb the photographs enclosed with this application bear a current truelikeness to the applicant, and that I have endorsed the back of oneof the photographs to this effect together with the date on whichthe likeness was compared.

I declare that -a to the best of my knowledge and belief the information given inanswer to questions 1 to 16 on page 1 is true; and

b the photographs enclosed with this application bear a current truelikeness to the applicant, and that I have endorsed the back of oneof the photographs to this effect together with the date on whichthe likeness was compared.

Name of 2nd referee

See note to 25b.on page 4lf yes complete a separate shotgun certificate application form.25c lfyou have held a shot gun certificate before, give details (ifknown)Expiry date Issuing police force

26 If you have at any time had an application for the grant orrenewal of a firearm or shot gun certificate refused in writing or acertificate revoked or partially revoked, give details

shot gun certificate)?tto I yes nDate

Date

Post Code

Name of 2nd referee

Address of 2nd referee

Post Code

Name of 1st referee

Usual sisnature of lst referee

Usual sisnature of 2nd referee

Phone number of 1st referee

Phone number of 2nd referee


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Part F DeclarationI/We declare that the statements made on this form are true.I/We understand that Vwe will be subject to a check of policerecords and that my details may be held on computer.It is an offence for any person to knowingly or recklessly make astatement which is false in any material particular for the purposeof procuring either for himself or for another person the grant,renewal or variation of a firearm certificate.The maximum penalty is six months imprisonment and/or a fine.

Usual signature of parent or guardian(if the applicant is under 17 years of age)

Date

Date

Usual signature of applicant

General notesYou should use this form to apply for the grant, renewal orvariation of a firearm certificate. It is - with certain statutoryexceptions - an offence to possess, purchase or acquire any firearmor ammunition to which Section 1 of the Firearms Act 1968 applieswithout holding a frearm certificate. The certificate will show thefirearms and ammunition which the holder may have in his or herpossession, purchase or acquire. If you are applying to hold aweapon other than aifTe,muzzle loading pistol or shot gun with alarge magazine, you should contact your local police firearmslicensing department for advice.Section 1 of the 1968 Act applies to allfirearms except:(i) a shot gun within the meaning of the Firearms Acts 1968 to 1991 ,that is to say a smooth-bore gun (not being an air weapon) which -a has a barrel not less than 60.96 cm (24 inches) in length anddoes not have any barrel with a bore exceeding 5.08 cm (twoinches) in diameter;

b either has no magazine or a non-detachable magazineincapable of holding more than two cartridges; andc is not a revolver gun;(ii) an air weapon, (that is a rifle, gun or pistol powered by air orcompressed carbon dioxide not of a type declared by Rules madeby the Secretary of State under section 53 of the 1968 Act to bespecially dangerous);and to all ammuntion except:(D cartridges containing five or more shot, none of which exceeds9.14 mm (.36 inch) diameter;(ii) ammunition for an air weapon; and

(iii) blank cartridges not more than 254 cm (one inch) in diametermeasured immediately in front of the rim or cannelure of the baseof the cartridge.A firearm certificate is granted subject to conditions. Someconditions are prescribed in law by the Firearms Rules 1998. Thechief officer of police may add others.It is an offence to fail tocomply with any condition shown on a firearm certificate.Note to Part A Question 14You are not entitled to withhold information about any offence. Thisincludes motoring offences, convictions in places outside GreatBritain, and (by virtue of the Rehabilitation of Offenders Act 1974(Exceptions) Order 1975) convictions which are spent under the 1974Act. Both a conditional discharge and an absolute discharge count asconvictions for this purpose.Note to Part D Application for grant or renewal of aFirearm CertfficateMust be accompanied by four identical photographs of you. Thephotographs should show you full face and without a hat and should bea current true likeness. The size of the photographs should be 45 mm x35 mm. They should be printed on normal thin photographic paper andbe unmounted. One of the photographs should be signed in ink, on theback, with your usual signature. Each ofthe referees must endorse a fur-ther separate photograph, in ink, using the words ICERTIFYT||AIIHISISACUBRENTTBUE LIKEi'I$S 0F (INEBT NAIIE)and signing it with his usual signature and thedate the likeness was compared. In the case of an application, for both afirearm and a shot gun certificate each of the referees should endorse aseparate photograph and two photographs must be signed by you.Note to Part D Renewal or variations onlyA fee is payable in respect of a variation only when the number offirearms held by virtue of the certificate is increased.Unless otherwise advised by the police, you should post or take thecompleted form together with the fee and photographs to the policeforce headquarters. In the case of an application for renewal or varia-tion, the current certificate should be included with the application.An application fo1 a variation which results from the disposal of oneweapon and the need for authorisation to acquire a new weapon of thesame type and calibre (a one-for-one variation) should be submitteddirect to the police force headquarters.

Note to Part D Question 25b Coterminous Shot Gun CefficateIf you simultaneously wish to apply for a Shot Gun Certificate and aFirearm Cerlificate you should fill in a shot gun certificate applicationform as well as this form. The so called Coterminous Shot GunCertificate will expire on the same day as your Firearm Certificate.The fee payable for such a certificate may be less than the normal feefor the grant or renewal of a shot gun certificate if both of yourapplication forms are dealt with at the same time.Note to Part E RefereesUnder the Firearms Acts 1968 to 1997 if you apply for a fireamcertificate you must provide the names and addresses of two poeplewho have agreed to act as referess for your application.If this is a new appTrcation then both referees must have known youpersonally for at least two years. They must be resident in Great Britainand must not be a member of your immediate famity. Registeredfirearms dealers, serving police officers or police employees cannot beaccepted as referees, except as set out below. Referees must be of goodcharacter. References must be given freely and not on payment.lf your application is for the renewal of your firearm certificate for afirearm for target shooting then one of the referees must be an officialof the approved club named on your firearm certificate. A registeredfirearms dealer may act as a referee in these circumstances. The otherreferee must not be a member of any target shooting club.An application for the variation of a firearm certificate does notrequire referees.Two referees'forms are enclosed with this application form. Youshould complete the factual details in questions 1,2, and 3 on theforms before passing them to the referees.FeesThis form must be accompanied by the appropriate fee.

@ Crown Copyright 1998. Reproduced with the permission of theController of Her Majesty's Stationery Office.Data Protection Act 1984Personal data supplied may be held or verified by computer.

Receipt No.

Date

For Policeuse only SignatureRank/No.

Station

firearms form 101

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