Vers 2.1 September 2015

++

Dealer Email Address

Mobile PhoneNumber

B. POSTAL ADDRESS - If the same as your business address please mark this box or insert below

NSW POLICE FORCE - FIREARMS REGISTRY

Application for a B709 Police Confirmation for a NSWLicensed Firearms Dealer or Weapons Dealer

B709

This form should be used by a NSW licensed firearms dealer or weapons dealer including a theatrical armourer and a club armourer,making application for a police confirmation and certification for importation of firearms, firearms parts, paintball guns, paintball gunparts, ammunition or weapons as stock. This form must be accompanied by the relevant form for the item being imported; longarm

firearms & parts, H firearms & parts, paintball guns & parts, ammunition or weapons.Fields bordered in RED are mandatory.

This form is interactive and may be completed electronically, printed and emailed to imports@police.nsw.gov.au,faxed to 02 66709811 or posted to:

Coordinator imports, Compliance and Intelligence Unit, Firearms Registry, Locked Bag 1, Murwillumbah NSW 2484.

Dealers Business Address

A. NSW FIREARMS DEALER DETAILS

Dealers Trading Name

Dealer Licence Number Licence ExpiryDealer BusinessPhone Number

Office Use Only: Application No Approval Number Date:

I certify that all the information contained in this application is true and correct in every detail.

I agree to the NSW Police Force undertaking such enquiries as are necessary to establish that the information I haveprovided in relation to this application is true and correct.

Date

C. DECLARATION

•

•

Applicants Signature

After completion, print, sign and date this form and return it with the relevant firearms and/orammunition form to the Coordinator Imports, Compliance and Intelligence Unit, Firearms Registry,

by email, fax or mail.

• I understand that giving false and misleading information is an offence under section 307B of the Crimes Act 1900.

Dealer Contact Person

Day TimePhone NumberDealer Permit Number Permit Expiry

Dealers Name