Firerms Ats 1968 to 1997 CID 136 (Rev.12/11) Applition for Visitor s Firerm/Shot Gun Permit I m pplying for (tik ox whih pplies): Visitor s Firerm Permit Visitor's Shot Gun Permit Plese red the ll notes on this form refully efore ompleting this pplition. Write in BLOCK CAPITALS throughout exept when signing. This form should e used to pply for Visitor s Firerm/Shot Gun Permit. It should e ompleted y person resident in Gret Britin on ehlf of visitor who wishes to possess firerms to whih setion 1 of the Firerms At 1968 pplies, or possess, purhse or quire ny mmunition to whih tht setion pplies whilst in Gret Britin or to possess shot gun to whih setion 2 of the At pplies. Prt A Sponsor s detils To e ompleted y sponsor The person mking the pplition is referred to in this form s the Sponsor. The ompleted form should e sent to the Sponsor s lol hief offier of polie. Firerms to whih setion 1 pplies inlude ny smooth ore gun whih hs rrel with length of less thn 60.96 m (24 inhes) or ore greter thn 50.8 m (two inhes) in dimeter, or whih hs non-dethle mgzine ple of holding more thn two rtridges, or dethle mgzine. It is n offene for ny person knowingly or reklessly to mke flse sttement for the purpose of prouring the grnt of permit. Prt B Individul visitor s detils To e ompleted y either the sponsor or the visitor 1 Title (Mr, Mrs, Ms, Dr et) 2 Surnme 10 Title (Mr, Mrs, Ms, Dr et) 11 Surnme 3 Forenme(s) 12 Forenme(s) 4 If you hve t ny time used nme other thn those quoted t 2 nd 3 ove, plese give detils if not write NONE Other surnme (if mrried womn, give surnme efore mrrige) 13 Dte of irth (DD/MM/YY) 14 Ntionlity 5 Dte of irth (DD/MM/YY) 15 Permnent ddress 6 Address 16 Address of visitor whilst in Gret Britin Post Code Home telephone numer 7 If you hold firerm or shot gun ertifite or firerms deler s ertifite of registrtion, give detils 8 If you re sumitting this pplition s representtive of shooting orgnistion, give detils Nme of orgnistion Post ode 17 If the visitor hs een onvited of ny offene (inluding y ourts outside Gret Britin), give detils Position held 9 Wht rrngements hve een mde for the sfekeeping of the visitor s firerms nd mmunition whilst in Gret Britin?
18 Give detils of firerms/shot guns to e possessed y the visitor whilst in Gret Britin: Clire, ore or guge Mker s nme Type nd tion Identifition numer 19 Give detils of the mximum quntity of mmunition to e possessed, purhsed nd/or quired y the visitor 21 Give reson(s) for the visitor requiring eh of the firerms/ shot guns nd the mmunition speified in 18, 19 nd 20 Quntity: Quntity: Clire To e possessed To e purhsed or quired 22 Does the visitor intend to prtiipte in n estlished shooting event/ompetition? no yes If yes, plese give detils 20 Does the visitor intend to purhse or quire shot gun whilst in Gret Britin? no yes If yes, plese give detils Desription Guge or lire If no plese give detils of where the visitor intends to use the firerms/shot guns nd mmunition 23 Expeted dte of rrivl in Gret Britin (DD/MM/YY) 24 Period for whih permit needs to e vlid from (DD/MM/YY) to (DD/MM/YY)
Prt C Group visitors detils (this setion my e ompleted either y the sponsor or y individul group memers) Note: An pplition my e mde on ehlf of group of up to 20 visitors who will e using firerms/shot guns for sporting purposes on the sme privte premises during the sme period, or who will e prtiipting in the sme ompetition or event or series of ompetitions or events. Plese print in BLOCK CAPITALS or type 25 Personl Detils 26 Firerms/shot guns 27 Ammunition Nme Clire Quntity Quntity to Dte of irth (DD/MM/YY) Address of visitor or Mker s nme Identifition to e e purhsed Ntionlity Permnent ddress whilst in Gret Britin ore type nd tion numer Clire possessed or quired
Prt C ontinued 25 Personl Detils 26 Firerms/shot guns 27 Ammunition Nme Clire Quntity Quntity to Dte of irth (DD/MM/YY) Address of visitor or Mker s nme Identifition to e e purhsed Ntionlity Permnent ddress whilst in Gret Britin ore type nd tion numer Clire possessed or quired
Prt C ontinued 25 Personl Detils 26 Firerms/shot guns 27 Ammunition Nme Clire Quntity Quntity to Dte of irth (DD/MM/YY) Address of visitor or Mker s nme Identifition to e e purhsed Ntionlity Permnent ddress whilst in Gret Britin ore type nd tion numer Clire possessed or quired
Prt C Continued Prt D Applition nd delrtion y sponsor 28 If ny memer of the group hs een onvited of n offene (inluding y ourts outside Gret Britin), give detils To e ompleted y the sponsor *Delete s pplile I herey pply to the hief offier of polie on ehlf of * the person nmed in Prt B ove or * the persons in the group speified in Prt C ove for * Visitor(s) Firerm Permit/*Visitor(s) Shot Gun Permit. 29 Give reson(s) for the memers of the group requiring the firerms/shot guns nd mmunition speified in 25 nd 26 I delre tht, to the est of my knowledge nd elief, the ove informtion is true. Usul signture Dte (DD/MM/YY) 30 Do ny memers of the group intend to prtiipte in n estlished shooting event/ompetition? no yes If yes, plese give detils This form must e ompnied y the pproprite fee Notes Before sumitting this pplition plese ensure tht: (i) All relevnt setions hve een ompleted (ii) You hve signed the pplition (iii) You hve enlosed the orret fee. If no, plese give detils of where the memers of the group intend to use the firerms/shot guns nd mmunition. 31 Period for whih permits need to e vlid from (DD/MM/YY) to (DD/MM/YY) Fee pid For offiil use only Signture Crown Copyright 1998. Reprodued with the permission of the Controller of Her Mjesty s Sttionery Offie. Reeipt numer Rnk/Numer Dt Protetion At 1984 Personl dt supplied my e held or verified y omputer Dte Sttion 61116