Club Authority to Acquire Firearm

CLUB AUTHORITY TO ACQUIRE FIREARM REQUEST

Form - QP0518A
Mareeba Pistol Club Form # QP0518A
NAME*
First Name & Surname
Email*
example@example.com
Is a Financial Member of the Mareeba Pistol Club Inc. until 30th June*
Type year of membership expiry
Applicant’s current Mareeba Pistol Club Membership number (which is obtained through your TidyHQ login and in your details as ID number
Member's Concealable Firearms License No.*
Exp Date*

DayMonthYear
Date
Make*
Manufacturer of Firearm
Model*
Model number or name
Type of Action*
Revolver, Semi Auto, Break action, air pistol etc
Class*
Enter corresponding letter: (A) an air pistol; (B) a centre-fire pistol with a calibre of not more than .38 inch or a black-powder pistol; (service matches, 25 yard, WA1500, ISSF Centrefire ECTA ) (C) a centre-fire pistol with a calibre of more than .38 inch but not more than .45 inch; ( mainly single action matches at our club ) (D) a rim-fire pistol.
Calibre*
22LR, 9mm, 38 Special etc
Magazine Capacity*
Max 10 allowed
Barrel Length*
Enter in millimetres
Please tick option that applies:*

Barrel Length is greater than 100mm (Not Semi Automatic)Barrel Length is greater than 120mm (Semi Automatic)
Date

DayMonthYear
Date
Please click on the "Submit' button below.

A member of the executive committee will confirm your membership and email you back a signed copy of the form, ready for submission with your PTA.
I acknowledge that I am responsible for the accuracy of the information in this document and will check and confirm the accuracy of any documents received from the Mareeba Pistol Club Inc prior to submitting to Weapons Licensing Branch.*

I have read the above declaration and agree to these conditions
Should be Empty:

CLUB AUTHORITY TO ACQUIRE FIREARM REQUEST