Permit For Temporary Importation Of Firearms And Ammunition By Nonimmigrant Aliens printable pdf download

OMB No. 1140-0084

U.S. Department of Justice

Application/Permit for Temporary Importation of

Bureau of Alcohol, Tobacco, Firearms and Explosives

Firearms and Ammunition by Nonimmigrant Aliens

For ATF Use Only

(Submit in duplicate; Please print or type all responses, except signature) An approved ATF F 6NIA (5330.3D)

is valid for one year from the date of approval. See Instruction 26.

Permit No.

Section I - To Be Completed By Applicant

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

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

information; cannot be a post office box)

3. Telephone number (including country code) 4. Fax (Facsimile) number (If any, including

5. E-mail Address

Male

country code) (See Instruction 16.)

Female

7. Date of birth

8. Place of birth (city, country)

9. Country of exportation

Month

Day

Year

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

11. Current and/or past U.S. Citizenship and Immigration Services

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

12. 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

13. 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 15.

If you answered No, go to question 14.

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

United States 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 304-616-4550 for additional information).

15. 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 Registration

Name and Address

Type

Caliber

Model

Barrel

Overall

Serial

Certificate Number

of Manufacturer

Length

(shotgun, rifle,

Length

Number

(FRCN)

(inches)

pistol, revolver)

Gauge

(inches)

ATF Form 6NIA (5330.3D)

Revised August 2011

Permit For Temporary Importation Of Firearms And Ammunition By Nonimmigrant Aliens

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