3 occasions in the Firearm Make and Type Serial No. Calibre Target Discipline last 12 months? 10B.6 10B.7 10B.8 Part B continued Firearms that you wish to purchase or acquire for target use on approved ranges. Have you used 3 occasions in Firearm Make and Target Serial No. Calibre club firearms in the last 12 Type Discipline this discipline? months? 11B.1 11B.2 11B.3 Part C Club declaration: I confirm that the above named is a full member of this club and has served a 12 month probationary period. (see below*) I confirm that this club is authorised for the use of the firearms listed at 10 and 11 above. I confirm that the statements of discipline participation are confirmed by club records. I support this use of the firearms listed at 10 and 11 above. applicant’s Club Official Signature: Date: *If you are prepared to waive the 12-month probationary period please state your reasons for doing so below. Club Official Signature:
Firearm Make and Type Serial No. Calibre Target Discipline 3 occasions in the last 12 months? 10B.6 10B.7 10B.8 Part B continued Firearms that you wish to purchase or acquire for target use on approved ranges. Firearm Make and Type Serial No. Calibre Target Discipline Have you used club firearms in this discipline? 3 occasions in the last 12 months? 11B.1 11B.2 11B.3 Part C Club declaration: I confirm that the above named is a full member of this club and has served a 12 month probationary period. (see below*) I confirm that this club is authorised for the use of the firearms listed at 10 and 11 above. I confirm that the statements of discipline participation are confirmed by club records. I support this applicant’s use of the firearms listed at 10 and 11 above. Club Official Signature: Date: *If you are prepared to waive the 12-month probationary period please state your reasons for doing so below. Club Official Signature:
form_30-40-a.docx