Atf 6 Nia, 2003, Application And Permit For Temporary Importation Of Firearms (Page 3 of 4) in pdf

OMB No. 1512-0578 (06/30/2003)

FOR ATF USE ONLY

DEPARTMENT OF THE TREASURY

PERMIT NO.

BUREAU OF ALCOHOL, TOBACCO AND FIREARMS

APPLICATION AND PERMIT FOR TEMPORARY IMPORTATION OF

FIREARMS AND AMMUNITION BY NONIMMIGRANT ALIENS

(Submit in duplicate; Please print or type all responses, except signature)

An approved ATF F 6NIA (5330.3D) generally is valid for one year from the date of approval. See Instruction 25.

SECTION I - TO BE COMPLETED BY APPLICANT

1. Applicant’s full name (last, first, middle)

2. Residential address (number, street, city, country, any other appli-

cable information; cannot be a post office box)

3. Telephone number (including country code)

4. FAX (Facsimile) number (If any, including

country code) (See Instruction 16.)

Male

Female

6. Date of birth

7. Place of birth (city, country)

8. Country of exportation

Month

Day

Year

9. Country of citizenship (list more than one, if applicable.)

10. Current and/or past Immigration and Naturalization Service admission

number(s) or alien number(s) (if any) (See Instruction 21.)

11. Only complete this question if you are applying to temporarily import firearms from Canada. (See Instruction 22.)

Firearms Possession License Number and/or Firearms Possession and Acquisition License Number

12. Do you possess a valid hunting license or permit lawfully issued by a State of the United States? (See Instructions 17-20.)

YES

If you answered YES, attach a copy of the license or permit to the application and skip to question 14.

If you answered NO, go to question 13.

13. Do you possess an invitation and/or registration to attend an upcoming competitive target shooting event or sports or hunting trade show

sponsored by a national, State, or local organization devoted to the collection, competitive use, or other sporting use of firearms? (See

Instructions 17-20.)

YES

If you answered YES, attach a copy of any such invitation and/or registration to the application.

If you answered NO, you likely are not in compliance with 18 U.S.C. § 922(g)(5)(B) and therefore likely are prohibited from obtaining an

approved ATF F 6NIA (5330.3D) temporary import permit (call 202-927-8320 for additional information) .

14. Description of firearms and ammunition (All the firearms and ammunition you seek to temporarily import may be included on this application.

Attach additional sheets of paper, if necessary. See Instruction 23.)

FIREARMS (ALL ITEMS IN COLUMNS a THROUGH g MUST BE COMPLETED BY THE APPLICANT; only applicants applying to import

firearms from Canada must complete column h.)

FIREARMS

TYPE

CALIBER

BARREL

OVERALL

SERIAL

REGISTRATION

NAME AND ADDRESS

(shotgun, rifle,

MODEL

LENGTH

NUMBER

CERTIFICATE

OF MANUFACTURER

pistol, revolver)

GAUGE

(inches)

NUMBER (FRCN)

ATF F 6NIA (5330.3D) (1-2003)

Atf 6 Nia, 2003, Application And Permit For Temporary Importation Of Firearms Page 3

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