Form 694 - Military Personnel Weapon Registration - Fort Lee

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Military Personnel WEAPON REGISTRATION
ARMY REGULATION 190-11 & FORT LEE REGULATION 190-2
PRIVACY ACT STATEMENT
AUTHORITY: Title 10, USC Section 3013, Title 5, USC Section 2951: E.O. 9397 Social Security Number (SSN)
PURPOSE: To document weapons registrations within COPS data base.
ROUTINE USES: Information provided may be further disclosed to Federal, State, and Local law enforcement
agencies, prosecutors, and courts.
DISCLOSURE: Voluntary disclosure. However, failure to provide the information will preclude registration and
authorization to possess a privately owned weapon on a military installation.
COMPLETION INSTRUCTIONS
Complete Section 1 and 2 and turn into Weapons Registration Office. You will be notified when checks
are complete. After checks are complete turn into Commander for signature and approval. Once signed
by the Commander bring to Weapons Registration Office for issuance of permit.
Section 1: PERSONAL INFORMATION
DATE:____________
NAME:______________________________________
RANK: _________
SSN: ___________________________
DOB:____________________
SEX: __________
RACE:___________
HEIGHT:__________________
WEIGHT:________
EYE COLOR:__________
HAIR COLOR:________
UNIT:____________________________
WORK PHONE#:__________
RESIDENCE ADDRESS: _____________________________________________________
__________________________________________________________________________
HOME PHONE#: ___________________________________________________________
Section 2: WEAPON INFORMATION
TYPE:_____________________
WEAPON STORAGE:_____________
MODEL:___________________
CALIBER:_______________________
SERIAL#:__________________
BARREL LENGTH:________________
OVERALL LENGTH:_______
MAKE:_________________________
FINISH:_____________________
REGISTRANT’S SIGNATURE:
Weapons Registration Office
_____No information which precludes weapons registration was found during the background check.
_____Information which precludes weapons registration was found during the background check.
CHECK COMPLETED BY: _________________________________ DATE: _________________
COMMANDER’S NAME:
COMMANDER’S SIGNATURE:
DATE:
REGISTRATION OFFICE:
DATE ENTERED:
BY:
FORT LEE FORM 694, R-NOV 2015
PREVIOUS EDITIONS ARE OBSOLETE

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