Membership Application

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Section 1 of 3: Eligibility
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Are you an excluded person per the QLD Weapons Act?The QLD Weapons Act 1990 defines an excluded person as a person: (a) who has been convicted in Queensland or elsewhere of— (i) murder or manslaughter; or (ii) armed robbery; or (iii) unlawful wounding; or (iv) grievous bodily harm; or (v) an offence involving drugs, weapons or violence prescribed under a regulation that is punishable by at least 7 years imprisonment; or (b) who, in the 5 year period immediately before submitting this application has been convicted of, or discharged from custody on sentence after the person has been convicted of, any of the following offences— (i) an offence relating to the misuse of drugs; (ii) an offence involving the use or threatened use of violence; (iii) an offence involving the use, carriage, discharge or possession of a weapon; or (c) who, in the 5 year period immediately before submitting this application has been subject to a domestic violence order, other than a temporary protection order; or (d) who is subject to a temporary protection order, police protection notice or release conditions; or (e) who is prevented by another order of a Queensland court or another court outside Queensland from holding a licence or possessing a weapon unless the order permits the person to possess or use a weapon under supervision; or (f) who, in the 5 year period immediately before the day the person signs the approved form under this section, has been subject to an involuntary assessment order under the Mental Health Act 2016 or a similar order under the repealed Mental Health Act 2000, or a similar order in another State; or (g) who has been refused a licence, or whose licence has been revoked, in the 5 year period immediately before the day the person signs the approved form under this section because the person is not, or is no longer, a fit and proper person to hold a licence; or (h) whose licence is suspended.
YESNO
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Are you an Australian resident?* This field is required.It is a legislative requirement to be an Australian resident to be able to join a pistol club in Queensland.
YESNO
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Do you have a disability (Including muscle loss/motor disabilities)* This field is required.
YESNO
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Details of your disability* This field is required.
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Do you suffer from any medical condition (eg mental illness, muscle loss) that may cause a concern participating in pistol shooting?* This field is required.
YESNO
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Details of your medical condition* This field is required.
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Have you ever been convicted of a criminal offence?* This field is required.
YESNO
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Details of criminal conviction* This field is required.
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Have you ever been refused a concealable firearms licence?* This field is required.
YESNO
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Details of license refusal* This field is required.
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Have you ever been refused membership of a Pistol Club?* This field is required.
YESNO
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Details of membership refusal* This field is required.
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Section 2 of 3: Applicant Information
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Name* This field is required.
First Name
Last Name
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Date of Birth* This field is required.
Date
Day
Month
Year
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Email* This field is required.
example@example.com
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Mobile Phone Number* This field is required.
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Address* This field is required.City, State & Post Code ONLY
Street Address
Street Address Line 2
City
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QLD
NSW
VIC
SA
ACT
TAS
WA
NZ
State
Post Code
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Occupation* This field is required.
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Employer / Educational Institute* This field is required.
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What prompted your interest in Pistol Shooting?* This field is required.
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What do you anticipate to achieve from the sport?* This field is required.
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How did you hear about our club?* This field is required.
Web
Social Media
Friends / Family
Private Event
Other
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Do you hold a current Category H Firearms License?* This field is required.
YESNO
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Category H License Number* This field is required.Enter numbers only
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Category H License Expiry* This field is required.
Date
Day
Month
Year
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Category H License* This field is required.
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Participation record for the last 12 month period* This field is required.
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Are you a member of any other pistol clubs?* This field is required.
YESNO
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What is the name of your current club?* This field is required.
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Proof of financial membership of your current club* This field is required.A letter from your current club confirming you are a member
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Do you hold a current Category A/B Firearms License?* This field is required.
YESNO
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Category A/B License Number* This field is required.Enter numbers only
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Category A/B License Expiry* This field is required.
Date
Day
Month
Year
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Category A/B License* This field is required.
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Section 3 of 3: Supporting Documents

Attach scanned files or photos of your supporting documents. If you are taking photos on your phone please ensure the text is legible.

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Statement of Eligibility from QPS ** This field is required.Note: a QP515 application form is NOT a statement of eligibility. If police station staff have signed your QP515 form and given it back to you then you will need to return to the station and request that they submit the form to Weapons Licensing.
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Drivers license or Passport* This field is required.
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Drivers License Number or Passport number* This field is required.
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Profile photo for your club ID card* This field is required.
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Character reference #1* This field is required.Please use our Character Reference template: https://cobpc.com.au/wp-content/uploads/2018/06/New-Member-Reference-Requirement-v1.0.pdf
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Character Reference #1 Name* This field is required.
First Name
Last Name
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Character Reference #1 Mobile Phone* This field is required.
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Character Reference #1 Details
Name
Mobile Number
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Character reference #2* This field is required.Please use our Character Reference template: https://cobpc.com.au/wp-content/uploads/2018/06/New-Member-Reference-Requirement-v1.0.pdf
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Character Reference #2 Name* This field is required.
First Name
Last Name
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Character Reference #2 Mobile Phone* This field is required.
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Character Reference #2 Details
Name
Mobile Number
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Which type of membership are you applying for?* This field is required.Successful applications will be provided payment instructions and payment must be made within 21 days of approval.
Annual - $420 + $50 joining fee
Spouse - $336
Monthly - $42\m + $50 joining fee
Student - $210
Junior - $210
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Name of your spouse who has an Annul membership* This field is required.
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Parental consent letter* This field is required.- Minors must have a parent join with the applicant. - Minors must submit a parental consent letter to join the club.
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Student ID Card* This field is required.Student ID card showing you are a student of a registered tertiary education provider. If your ID card doesn’t display your study load (i.e. Full-time or Part-time), supporting documentation to show you are a Full-time student.
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Does your Student ID Card indicate you are a Full-time student?* This field is required.
YESNO
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Supporting documentation to show you are a Full-time student* This field is required.
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Declaration
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Terms and ConditionsI agree to be bound by the Constitution, By-laws, Standing Orders and Policies of the City of Brisbane Pistol Club (the Club) and to comply with the same at all times. I understand the requirement for responsible and ethical behavior and I undertake to do all in my power to preserve the good image of the sport and the Club and its affiliates. I agree to make myself familiar with the provisions of THE WEAPONS ACT 1990 and WEAPONS REGULATIONS 1996. I agree to undergo such training and assessment as specified by the Club before being accepted as a member and prior to the Club providing an “Approved Club Declaration” for a firearms licence application, or the Club providing authorisation to acquire particular categories of firearms. I agree that should I be convicted of a criminal offence I will immediately report it to the Committee of Management (the Committee). I understand that as a member, if I break any of the code of ethics and club policies, the Club reserves the right to cancel my membership. I understand that the Club will conduct a new member interview during the 6 months probationary period to evaluate a new member's participation and conduct in club activities. I understand that if I do not meet the safety standards for participation in club activities, I may be required to attend additional training. The Club reserves the right to cancel memberships as part of this process if a new member is deemed to be acting in contravention to the Club's Constitution, Bylaws and Standing Orders. Pro-rata refund will be issued. I understand that the Club may be required to disclose personal information as required by The Weapons Act, and for the administration of your membership. The Club reserves the right to decline an application for membership without explanation. I HEREBY APPLY TO BECOME A MEMBER OF THE CITY OF BRISBANE PISTOL CLUB, AND DO SOLEMNLY AND SINCERELY SWEAR THAT MY INTENTION IS TO BE AN AMATEUR TARGET PISTOL SHOOTER AND THAT I WILL APPLY MYSELF AS AN ACTIVE CITY OF BRISBANE PISTOL CLUB MEMBER.
I am the applicant. I have read and understood the declaration, and agree to abide by the terms and conditions within.
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