Pre-Licence Qualification Course Enrolment1 2 3 4 Personal DetailsFirst Name*Middle NameLast Name*Address Line 1*Address Line 2Town/Suburb*State*PostcodeEmail* Mobile Phone Number*Daytime Phone Number (if different to the above)Date of Birth* Date Format: DD slash MM slash YYYY Drivers Licence or Passport Number*Online course user setupPlease enter a desired username for accessing the online course. You will be emailed a link to set your passwordUser name* Personal HistoryHave you in NSW or elsewhere:a) Been refused or prohibited from holding a firearms licence or permit or had a firearms licence or permit suspended, cancelled or revoked?*YesNob) Been the subject of a Firearms Prohibition Order?*YesNoc) Within the last 10 years been convicted of an offence involving firearms, weapons, prohibited drugs, robbery, violence, terrorism or an offence of a sexual nature?*YesNod) Within the last 10 years been the subject of a Family Law or Domestic Violence Order or an Apprehended Violence Order (other than an order that was revoked)?*YesNoe) Ever attempted suicide or self harm?*YesNof) In the past 12 months been treated or referred for treatment for alcoholism, drug dependence or a mental illness within the meaning of the Mental Health Act 2007 or as a mentally disordered person within the meaning of that Act?*YesNog) Currently subject to a Good Behaviour Bond?*YesNoh) Currently subject to an Interim Apprehended Violence Order?*YesNoi) Currently suffering from any mental illness or other disorder that may prevent you from using a firearm safely?*YesNoSorry, you are ineligible to participate in shooting activities involving the possession and use of firearms. To have your case adjudicated, download and complete the NSW Firearms Registry P650 form and send the form to: NSW Firearms Registry, Locked Bag 1, MURWILLUMBAH, NSW, 2484 for their adjudication. For more information, please refer to the NSW Police Force website.Pre-Qualification Course* Price: $ 144.43 Credit Card*MasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Call Us Now on 02 9486 3077
