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 (8/99) 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. (8/99) 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. (8/99) 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 (8/99) 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. (8/99) 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. (8/99)
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