Visitors Licence - Queensland Police

APPLICATION FOR A VISITORS LICENCE
Weapons Act 1990 - Section 12
Weapons Regulations 2016 - Section 77
(Please refer to rear of application form for instructions)
PART 1 ( Personal Information )
Family Name : ____________________________________________________________________________________
First Given Name: _______________________ Second Given Name: ______________________________
Residential Address: ______________________________________________________________________________
Postal Address:_____________________________________________________________________
Date of Birth: _____/______/______ Country of Citizenship: _______________________________
Contact Phone No: Home: _________________ Business: ________________ Fax: ___________
(include International Access and Country Codes)
Passport Number: ________________________ Country of Issue: _____________________________
2015
2015 Current Australian Visa Valid To: _____ / _____ / _____
Passport Expiry Date: _____ / _____ / _____
Is a licence required in your home country to possess, carry or use firearms ?
YesNo
If Yes, a certified copy of your Licence/Permit in your home country authorising possession and use
of firearms must be attached to this application. If No, Part 6 (Police Clearance) must be completed.
Do you hold a firearm licence in your home country ?
Yes No
Are you a member of a Hunting / Shooting Club?
Yes No
If Yes, a certified copy of your club membership card must be attached to this application.
How long do you intend to stay in Australia? From:____________________To: ____________
Specify the State/Territory you intend to stay: _____________________________________________
Flight Details
Arrival Flight No.: __________________ Arrival Time: _________________ Arrival Port: __________
Departure Flight No.:_______________ Departure Time: _______________ Departure Port: ________
Address whilst in Australia: ____________________________________________________________
Contact number at that address: ____________________________________
A CERTIFIED CURRENT PASSPORT PHOTO OF THE APPLICANT MUST BE ATTACHED TO THE APPLICATION
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2.
PART 2 ( Firearm Details )
For what purpose do you wish to use firearm(s) in Australia? ____________________________________
___________________________________________________________________________________________________
Are you bringing firearms into Australia? Yes No
If Yes, please supply following details:-
(See rear for action code)
Make ____________________ Model __________________ Calibre _______ Action _____ Ser.No _______________
Make ____________________ Model __________________ Calibre _______ Action _____ Ser.No _______________
Make ____________________ Model __________________ Calibre _______ Action _____ Ser.No _______________
Were you intending to import more than 1 firearm you must demonstrate why you need more than 1
firearm to engage in your activities.
Reason ___________________________________________________________________________________________
Where will the firearm(s) be stored whilst visiting and what arrangements have been made for the safe
keeping of the firearm(s) to prevent loss or theft ?
___________________________________________________________________________________________________
If you intend to borrow any firearm(s) whilst in Australia, please state from whom you will be borrowing the
firearm.
Name: ________________________________ Address: _____________________________________
__________________________________________________________________________________
If you wish to shoot on private property you must attach a letter from the property owner or occupier
giving permission to discharge a firearm on that property. This letter must include the property
owner's name, address and date of birth and the applicant's name address and date of birth.
For those who wish to enter Australia for a hunting or Safari trip, the following information should be
provided:
• the name and permit number of the Safari tour operator, or
• the name and address of the approved hunting club and the location of hunting activities.
Name Of Club/Tour Group: __________________________________ Permit Number: _____________
Dates & Location(s) where firearm is to be used:
Date: _____/_____/______ Location: ____________________________________________________
Date: _____/_____/______ Location:
Refer to rear of application form for interstate recognition information for hunting.
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3.
PART 3 ( Firearm Accessories )
Yes No
Will you be importing firearm parts, accessories and/or ammunition?
If Yes, please supply details:
QUANTITY
PARTS / ACCESSORIES / AMMUNITION DESCRIPTION
PART 4 ( Previous History )
Yes No
Have you ever been found guilty of, or do you have charges
pending for any offence in your home country or elsewhere?
If you answer ‘yes’, which Country? _____________________________________________________
Have you ever been refused a licence or a permit for the possession, carriage or use of a firearm?
Yes No
If ‘yes’ indicate the year. ____/____/____ Refused by whom? _______________
Reason for refusal: __________________________________________________________________
Have you ever had a licence or permit for a firearm cancelled?
Yes No
If ‘yes’ indicate the year. ____/____/____ Refused by whom? ________________________________
Reason for cancellation: ______________________________________________________________
Have you previously held an International Visitor Firearm Permit in Australia?
Yes No
If you answered ‘yes’ please indicate where Issued:________________ Permit Number: _____________
PART 5 ( Declaration )
I Hereby Declare That The Information Contained In This Application Is True And Correct.
__________ / __________ / __________
(Date)
___________________________
(Name of Witness)
_______________________________________________
(Signature of Applicant)
_______________________________________
(Signature of Witness)
Privacy Collection Statement
The Queensland Police Service (QPS) is collecting your information for the purpose of assessing your application for a Weapons
Act Licence. The collection of this information is authorised by the Weapons Act 1990 (Qld). The information you provide will
not be used or disclosed without your consent unless such use or disclosure is authorised or required by law, including the
Weapons Act 1990 (Qld), Police Service Administration Act 1990 (Qld) and the Information Privacy Act 2009 (Qld). You have a
right to access personal information that the QPS holds about you, subject to any exceptions in relevant legislation. If you wish to
seek access to your personal information or inquire about the handling of your personal information, please contact PSBA Right
to Information and Privacy by email at [email protected] or by telephone 07 3364 4666.
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4.
PART 6 ( Police Certification & Clearance Certificate )
POLICE CLEARANCE CERTIFICATE FROM COUNTRY OF RESIDENCE
THIS SECTION SHOULD BE COMPLETED BY APPLICANTS WHERE NO LICENCE OR PERMIT IS REQUIRED IN THE
COUNTRY OF RESIDENCE.
I ____________________________ certify that the person named in this application is lawfully entitled
(Full Name of Police Member)
to carry, possess and use firearms in their country of residence where no Firearms Licence, Permit or
Authority is required to be held. l also verify that the above applicant is a person who is suitable to
possess, carry and use Firearms.
_________________________ _____________________
(Signature)
(Name & Rank)
_____ / _____ / _____ _____________________________
(Date)
(Police Station)
Contact Phone No. __________________________________
Official Police Stamp
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5.
INSTRUCTION PAGES FOR AN INTERNATIONAL VISITOR FIREARM
PERMIT
The information contained in your application is treated as Strictly Confidential
This permit only applies to category A/B firearms and C ( pump action or self loading shotguns) and
handguns.
How to use these instruction pages
There are Six Parts in the application form. All parts must be completed.
•
•
•
•
•
The form is to be completed in black or blue pen only.
Attach copies of supporting documents securely to your Application and forward to the appropriate issuing State or
Territory.
Application is to be forwarded at least 28 days prior to your intended arrival in Australia.
Any queries? Contact the Firearms/Weapons Registry in your State or Territory. (Refer to below)
For Yes/No questions, please circle the appropriate response.
Do not send:
original identification documents. (Except your photograph).
FIREARMS/WEAPONS REGISTRY/BRANCH/SERVICES - STATE/TERRITORY
Queensland Weapons Licensing Branch
GPO Box 892
BRISBANE QLD 4001
Ph: 0011 61 7 3015 7777
Fax: 0011 61 7 3015 7788
Western Australia Firearms Branch
210 Adelaide Terrace
EAST PERTH WA 6000
Ph: 0011 61 9 9223 7000
Fax: 0011 61 9 9223 7029
South Australia Firearms Branch
GPO Box 1539
ADELAIDE SA 5001
Ph: 0011 61 8 8204 2495
Fax: 0011 61 8 8204 2214
A.C.T Weapons Registry
P.O Box 401
CANBERRA CITY ACT 2601
Ph: 0011 61 2 6245 7402
Fax: 0011 61 2 6245 7259
Northern Territory Recording Section
P.O Box 39764
WINNELLIE NT 0821
Ph: 0011 61 8 8922 3541
Fax: 0011 61 8 8922 3540
Tasmania Police Firearms Registry
GPO Box 1264
HOBART TAS 7001
Ph: 0011 61 3 6230 2720
Fax: 0011 61 3 6230 2765
New South Wales Firearms Registry
Locked Bag 2000
PEAKHURST NSW 2210
Ph: 0011 61 2 9930 6299
Fax: 0011 61 2 9930 6399
Victorian Firearm Licensing Services
GPO Box 2807AA
MELBOURNE VIC 3001
Ph: 0011 61 3 9247 3227
Fax: 0011 61 3 9247 6485
How to Complete Part 4
Simply cross ‘yes’ or ‘no’ in response to each questions, and supply the additional information requested if it applies to
you.
Offences
“Charges pending” means formally charged with an offence which is currently awaiting a court
appearance. In relation to “Found Guilty”, it does not matter how long ago you were found guilty or
what penalty was imposed. If you answer “yes”, indicate the State and/or Country.
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6.
CONFIRMATION OF FIREARMS BROUGHT INTO AUSTRALIA
How to complete Part 2
•
•
•
For combination firearms, both calibres must be supplied, separated by a slash. Eg. “12G/22”
A correct serial number, appropriate to the make and model of the firearm, must be supplied. (Take care to avoid
part numbers or product numbers on grips etc. INVALID NUMBERS WILL DELAY YOUR APPLICATION. If in
doubt, seek assistance from an authorised firearms identifier).
Below is the Firearm type & action codes for your information.
Example of correctly completed form:
Make:
Ruger
Model:
77R MKII
Action: BA
Serial Number: 15012345
Calibre: .223
Visitor Permits issued for the purposes of hunting or Safari trips, will only be recognised within the Sate/Territory
of issue. If you intend to hunt interstate, you will need to obtain a permit for each State/Territory to be visited.
Firearms TYPE codes
A
B
C
H
Airguns; paintball firearms; rimfire rifles (not semi-automatic);
shotguns (not semi-automatic or pump action); any combination of a
shotgun and rimfire rifle.
Muzzle loading firearms; centre fire rifles (not automatic or semiautomatic); any combination of shotgun and centrefire rifle.
Semi-automatic shotguns (magazine capacity not more than 5
rounds); pump action shotguns (magazine capacity not more than 5
rounds).
All handguns including air pistols
Firearms ACTION codes - (To be used in conjunction with Part 2)
AR
LA
PA
BA
BO
RV
PN
SN
Air
Lever Action
Pump Action
Bolt Action
Break Open
Revolver
Percussion
“Snider”
MH
FL
SA
RB
PH
MZ
FB
Martini Henry
Flintlock
Semi-Automatic
Rolling Block
Powerhead
Muzzle Loading
Falling Block
DECLARATION - (All applicants must complete this Part)
You must complete this part in the presence of a person authorised to witness the Declaration.
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