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APPLICATION FOR CERTIFICATE OF APPROVAL
(GB Firearms Holder)
TO ENABLE ME (THE HOLDER OF A FIREARM OR SHOTGUN CERTIFICATE GRANTED IN GREAT
BRITAIN OR POSSESSOR OF AIR WEAPONS NOT REQUIRING SUCH A CERTIFICATE) TO HAVE IN
MY POSSESSION A FIREARM AND AMMUNITION IN NORTHERN IRELAND
Date of Birth
Name
GB Address
Postcode
Tel No
Fax No
NI Address
Postcode
(If applicable)
GB Cert No
Expiry
date of GB
Certificate
Issuing Police
Force
I hereby apply to have in my possession the undernoted firearm(s) and ammunition while resident in Northern
Ireland for the period:
to
Firearms (including unlicensed Air Weapons)
(Note: In Northern Ireland firearms include air weapons having a kinetic energy of 1joule and above)
Make
Form 30/15
Serial No
Type
PB 2/15
1
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Calibre or
Gauge
Other distinguishing
marks (if any)
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Ammunition
Type
Quantity
Calibre
Reasons for requiring the firearm(s) and ammunition in Northern Ireland:
Where will each of the firearms be used?
Where will each of the firearms and ammunition be kept in Northern Ireland when NOT in use and what
arrangements have been made for their safe custody?
I confirm that any air weapons listed overleaf and not contained on my Firearm Certificate are not air
weapons declared by rules made by the Secretary of State under Sec. 53 of the Firearms Act 1968 to
be especially dangerous for which a Firearm Certificate is required.
I hereby make application as above and declare that the information given is correct.
Signature of Applicant
Date
Note:
The completed application form and a copy of current GB Firearm/Shotgun Certificate should be forwarded to
the undermentioned address not less than 4 weeks prior to the proposed visit to Northern Ireland.
Police Service of Northern Ireland
Room 46
Lisnasharragh
42 Montgomery Road
BELFAST BT6 9LD
PB 2/15
2
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