Fb-1380-E Application For Authority To Purchase A Handgun
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1APPLICATION FOR AUTHORITY TO PURCHASE A HANDGUN
For use of this form, see XVIII Airborne Corps and Fort Bragg Reg 190-12; the proponent agency is PMO.
PRIVACY ACT STATEMENT
AUTHORITY:
Title 5, U.S.C. Section 301.
PRINCIPAL PURPOSE:
To provide information on individuals requesting authority to purchase a handgun.
ROUTINE USES:
Military Police records check.
DISCLOSURE:
Voluntary. However, authority to purchase a handgun will be withheld from individuals who do not provide information.
SECTION A - INSTRUCTIONS
(Applies to all applicants)
Applicant will complete Sections B, C, and D, then bring to the Police Records Bureau, Provost Marshal Office (PMO). PMO will complete
Section E. If no derogatory information is found, take directly to the Sheriff's Office in your county of residence. If derogatory information is
found and annotated, take to your company commander for completion of Section F, then to the Sheriff's Office in your county of residence.
You must register any firearm you store on post (e.g., in quarters or a unit arms room) at a Vehicle/Weapons Registration Center.
SECTION B - APPLICANT INFORMATION
(Must be completed by all applicants)
Last Name
First Name
MI
Rank
SSN
DATE OF BIRTH
PLACE OF BIRTH
Day
Month
Year
City
County
State
SECTION C - STORAGE LOCATION OF HANDGUN
(Must be completed by all applicants)
Other (Specify)
Unit Arms Room
On-Post Quarters
Off-Post Residence
SECTION D - APPLICANT CERTIFICATION
(Must be completed by all applicants)
I understand that this authorization (if granted) does not give me the right to carry a weapon in violation of North Caroina General Statute
14-169 or military regulations. I am not a fugitive from justice. I never have been convicted of an offense punishable by one year or more
confinement, nor am I under indictment for such an offense. I do not have a conviction under the Lautenberg Amendment.
Signature of Applicant
Date
Derogatory Information Found
SECTION E - PROVOST MARSHAL ACTION
Yes, as detailed below (Complete offense information below)
(Must be completed for all
No (Skip to Section G)
MPR Number
Offense
Date
Continued on reverse if checked
Date of Criminal History Check
Signature
PMO Stamp
SECTION F - COMPANY COMMANDER'S ACKNOWLEDGEMENT OF NOTIFICATION
SECTION G -
(Complete only for handgun applicants with derogatory information listed in Section E above.)
SHERIFF'S OFFICE
ACTION
Phone
This form must be presented within
5 days of date of PMO processing
to the Sheriff's Office in your
county of residence for
Signature
Date
all handgun purchase applicants .
FB FORM 1380-E, MAY 2004 (IMSE-BRG-ESM)
PE v6.5
Previous edition is obsolete.
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