Application for Grant Renewal of Firearm or Shotgun - Police Scotland

FORM 20117. Details of the maximum amount of ammunition to be possessedCalibre Metric/ImperialQuantityCalibre Metric/ImperialQuantityCalibre Metric/ImperialQuantity18. i) Details of current (or in the case of a grant, proposed) security arrangements. NB: it is notnecessary to have all of the below.Tick all that are relevant:British standard cabinet or equivalentCabinet bolted to the fabric of the buildingStorage out of sight of casual visitorsStored at other address(es) (give details)Shared security (give details of whom the security is shared with)Ammunition storage (give details)ii) Give details of any other relevant security arrangements below e.g. gun room, address of alternatesecurity location etcPlease print, sign and date here:Applicant’s name:Applicant’s signature:Page 4Date:

FORM 201PART E: Continuation sheet.Please use this space for any additional information relating to parts A-D of this form: Please writein BLOCK CAPITALSPlease print, sign and date here:Applicant’s name:Applicant’s signature:Page 7Date:

FORM 201APPLICATION FOR THE GRANT OR RENEWAL OF A FIREARM AND/ORSHOTGUN CERTIFICATEPART F: (i) Referee details. Please write in BLOCK CAPITALSFirearm and/or shotgun certificates.See notes 10 and 111. Title 2. Surname 3. Forename(s)4. Date of birth 5. Occupation6. Home addressPostcode7. Home telephone numberi) Work telephone number ii) Mobile numberiii) Home e-mailiv) Work e-mail8. In what capacity do you know the applicant?9. I have seen the details given by(insert full name of applicant) which are true to the best of my knowledge. I have known the applicantfor years and know of no reason why she/he should not be granted or have reneweda shotgun or firearm certificate as applicable. I have signed and dated the reverse of one of thephotographs submitted with the application and declare that it is a current true likeness. I alsounderstand it is an offence under section 28A(7) of the Firearms Act to knowingly or recklessly make afalse declaration for the purpose of procuring for another the grant or renewal of a certificate.Signature of referee:Print name:Date:Please print, sign and date here:Applicant’s name:Applicant’s signature:Page 9Date:

FORM 201PART G: Equality (Please tick the appropriateboxes)EQUALITY INFORMATION1. Do you have a disability?YesNoPrefer not to say2. What is your ethnic group?A. WhiteEnglishWelshScottishNorthern IrishBritishIrishGypsy or Irish TravellerAny other white background, write in:3. Gender male femalePrefer not to say4. What is your age group?Age group66 and above61–6556–6051–5546–5041–4536–4031–3526–3021–2518-25Under 18Prefer not to sayTickB. Mixed / multiple ethnic groupsWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other mixed / multiple ethnicbackground, write in:C. Asian or Asian BritishIndianPakistaniBangladeshiChineseAny other Asian background, write in:D. Black / African / Caribbean / Black BritishAfricanCaribbeanAny other Black / African / Caribbeanbackground, write in:E. Other ethnic groupArabAny other ethnic group, write inF. Prefer not to sayPage 11