Applications Form For Weapons Identification Card - Commonwealth Of The Northern Mariana Islands, Department Of Public Safety

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COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS
DEPARTMENT OF PUBLIC SAFETY
GENERAL SUPPORT BUREAU
RECORDS AND FIREARMS SECTION
APPLICATIONS FOR WEAPONS IDENTIFICATION CARD
To carry and possess Firearms, Dangerous Devices, and Ammunition
APPLICATION No.#:
DATE OF APPLICATION:
APPLICATION RECEIVED BY:
SAIPAN
TINIAN
ROTA
RECEIPT No.#:
NEW ID
RENEWAL
DUPLICATE
ADDITIONAL
JOINT
CRIMINAL RECORDS (COURT)
FINGER PRINT (BUREAU)
Under 6 CMC, Division 2, Subsection 2204 (d), Identification Card
No identification card may be issued until 15 days after application is made, and unless the issuing agency is satisfied that the
application may lawfully possess and use, or carry firearms, dangerous devices, or ammunition of the type or types enumerated on the
identification card. Unless the application for use and possession is denied, the identification card shall issue within 60 days from
date of application.
A. PERSONAL INFORMATION
NAME:
(Last)
(First)
(Middle)
RESIDENCE:
MAILING ADDRESS:
TELEPHONE:
HOME AND WORK:
CITIZENSHIP:
NATIONALITY:
PLACE OF BIRTH:
DATE OF BIRTH:
AGE:
SEX:
HEIGHT:
WEIGHT:
HAIR COLOR:
EYE COLOR:
SOCIAL SECURITY NUMBER
EMPLOYMENT:
OCCUPATION:
ADDRESS:
B. WEAPON(S) (List all weapons applicant desires to own or possess).
1. Firearms
MANUFACTURER
TYPE
MODEL
CALIBER
SERIAL NUMBER
2. Dangerous devices (explosives, incendiary or poison gas bomb, grenade, mine, etc.).
3. Ammunition
C. QUESTIONS ABOUT YOUR QUALIFICATION TO OWN AND POSSESS WEAPONS
1. Have you ever been acquitted of any criminal charge by reason of insanity? ........................................... YES
NO
2. Have you ever been declared mentally incompetent by a court of law? .................................................... YES
NO
3. Have you ever been convicted of any crime other than minor traffic violations? ....................................... YES
NO
4. Have you ever been treated in a hospital for mental illness, drug addiction or alcoholism? .................... YES
NO
5. Are you addicted to the use of narcotic drugs? ............................................................................................ YES
NO
6. Have you ever been afflicted with epilepsy, insanity, paralysis, or any other disability or
disease which might affect your control or your ability to handle a weapon safety? ................................ YES
NO
7. If you have a YES answer to any of the above question, explain fully on a separate sheet

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