Temporary Permits Page - 1 - NORTHERN TERRITORY POLICE Northern Territory Firearms Act 1997 PF446 Ver.4.5 Revised 08/20 APPLICATION FOR FIREARMS TEMPORARY PERMITS Read the instructions attached before completing the form. TO BE LODGED IN PERSON AT A NORTHERN TERRITORY (NT) POLICE STATION Individual Business Please tick appropriate box Section 1: Firearms Temporary Permit Type / Category Please tick appropriate box or boxes Category of firearm you are seeking in this temporary permit A B C D (*see note) H *Note: Applications for Category D temporary permits are only considered under special circumstances. You must contact the Firearms Policy and Recording Unit (FPRU) on (08) 8922 3543 or [email protected]if you are applying for a Category D temporary permit. Section 2: Type of permit Please tick appropriate box or boxes Type of permit To authorise the possession or use of a firearm by a person residing temporarily in the NT To authorise the holder of a ‘Collector Licence’ to use a firearm held under the Licence (discharge a collector’s piece) To authorise the possession or use of firearms for film, theatrical productions or other artistic purposes To authorise the temporary possession or use of a firearm by the holder of a licence for a specified reason not covered by the holder’s licence Other reason (Pursuant to Section 31(1) of the Firearms Act 1997) .………………………………………………………..…… ……………………………………………………………………………………………………………………………………………...… Section 3: Genuine Reason / Need Please tick appropriate box or boxes (*see note) Reason / Need Animal Welfare Business or Employment Firearms Collection Instruction in Firearms Use and Safety Museum Display Occupational Requirements Primary Production .Recreational_Shooting_/ Hunting Sports Shooting Vertebrate Pest Control Theatrical Enactment Special Use Permit (not covered by firearms licence ) *Note: You must provide supporting documentation to support the ‘reason and / or need’ along with this application. Section 4: Duration Required for NT Firearms Temporary Permit *see note Duration Date From ................... / ......................... / ……............... To ……............... / ........................ / …................. *Note: Interstate applicants - Please ensure the period covers entry and exit into the NT (travel period) Section 5: Personal Details Please tick appropriate box or boxes Current Name Surname: Given Name: Middle Name: Date of Birth DD / MM / YYYY Sex Male Female Other (Indeterminate/Intersex/unspecified) Place of Birth Town State Country POLICE USE ONLY NT Firearms Licence No: ………………..………………… Fee:……………….….………… Receipt No:………………..…… Date: .......... / …..…... / ….........
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Application for Firearms Temporary Permit · finding of guilt against you, for any offence, not including minor traffic offences, including - Any interstate or overseas findings of
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Read the instructions attached before completing the form.
TO BE LODGED IN PERSON AT A NORTHERN TERRITORY (NT) POLICE STATION
Individual Business Please tick appropriate box
Section 1: Firearms Temporary Permit Type / Category Please tick appropriate box or boxes
Category of firearm you are seeking in this temporary permit
A B C D (*see note) H
*Note: Applications for Category D temporary permits are only considered under special circumstances. You must contact the Firearms Policy and Recording
Unit (FPRU) on (08) 8922 3543 or [email protected] if you are applying for a Category D temporary permit.
Section 2: Type of permit Please tick appropriate box or boxes
Type of permit
To authorise the possession or use of a firearm by a person residing temporarily in the NT
To authorise the holder of a ‘Collector Licence’ to use a firearm held under the Licence (discharge a collector’s piece)
To authorise the possession or use of firearms for film, theatrical productions or other artistic purposes
To authorise the temporary possession or use of a firearm by the holder of a licence for a specified reason not covered
by the holder’s licence
Other reason (Pursuant to Section 31(1) of the Firearms Act 1997) .………………………………………………………..……
You MUST provide proof of address e.g. drivers licence, proof of age card or electoral enrolment or letter from employer (Not more than twelve months old)
Section 9: Address whilst in the NT (Applicable to Interstate Applicants only)
Address details whilst in the NT
Residential: Post Code
Postal: Post Code
Section 10: Business / Employment Details
Business / Employment Details
Your Occupation / Business: Business / Employer Name:
Business / Employer
Phone Number:
Business / Employer
Mobile Number:
Business / Employer Address (Not PO Box): Post Code
Section 11: Storage and Safe Keeping of Firearms *see note Please tick appropriate box or boxes (as applicable)
Storage details
Self-storage (Category A and B (C, D & H if previously inspected))
(Attach PF491 – Self Declaration for ‘Storage and Safekeeping’ of firearms, along with photos of your gun safe)
Self-storage (Category C and H) (Attach PF482 - Permission to Inspect Premises (if not previously inspected))
Storage with the dealer / another licence holder / firearms club (Attach PF492 – Permission to Store Firearms Notice)
*Note – All applicants must have their own storage facility or have access to an approved storage facility and provide supporting evidence. If you have your
own storage facility, you MUST attach photos of the gun safe along with ‘Self-Declaration’ – PF491 form.
Section 12: Permission to Shoot *see note Please tick appropriate box or boxes
Permission to Shoot Details
Crown Land Hunting Permit
(Attach permit from Department of Planning and Infrastructure)
Permission to Shoot on Rural Land
(Attach letter from the landowner – for details of requirements
please read the instructions)
Approval from traditional owner to hunt on Aboriginal land (Attach permission letter from relevant Land Council /
Community on a letter head)
Other NT Government Issued Permits
(e.g. ‘Water Fowl’ or ‘Pig’ Hunting Permits)
Sports Shooting
(Attach ‘Club Certificate of Support / Club Membership PF474’)
Other reasons (Provide details)……………………………………
*Note – All applicants must establish a genuine reason to shoot, with each application and should provide one or more of the above. Refer to instructions.
Provide supporting documentation justifying the reason.
Section 13: Firearms details *see note
Particulars of Firearms for which permit is required
Category
Make / Brand Model
Serial
Number
Action
Type
Calibre (e.g. 300 Win Mag)
Capacity Barrel
Length (Cat H only)
*Note – Refer to instructions attached for more information and examples on how to complete the firearms list above. Attach a separate table if you need to
provide details for more firearms.
Section 14: Information Disclosure Please Tick appropriate boxes