Bristol Invicta Rifle Club (Joining Inquiries)

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Email *

Telephone Number *

Full Name *

Full Name including any middle names. This is Required to notify Avon and Somerset Firearms Licensing Department.

Date of Birth *

YYYY

Place of Birth *

Do you hold a firearms certificate? Please provide FAC number if yes. *

Have you ever had an application for a firearms or shotgun certificate refused by the police or had a certificate revoked
*

Yes

I declare I am not prohibited by Section 21 of the Firearms Act 1968.

(Section 21 prohibits the possession of a firearm and ammunition by any person who has been convicted of a crime and sentenced to a term of imprisonment of 3 months or more.)

I am NOT prohibited by Section 21 - (I've NEVER been sentenced to 3 months or more in prison)

I AM prohibited by Section 21 - (I HAVE been sentenced to 3 months or more in prison)

Address including POSTCODE *

Have you lived at this address for 5 years more *

Yes

If less than 5 years, list all addresses WITH DATES for the last 5 years

By submitting this form and clicking 'YES' (below), I agree to Bristol Invicta Rifle Club sending this data to Avon and Somerset Police and their use of this data as stated in their Privacy Policy. I also agree to Bristol Invicta Rifle Club storing my data for their membership records. Bristol Invicta Rifle Club will not sell or pass on your data to any other third party with the exception of Avon and Somerset Police. *

Yes

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