
APPLICATION FOR AUTHORITY TO PURCHASE A HANDGUN
For use of this form, see XVIII Airborne Corps and Fort Bragg Reg 190-12; the proponent agency is PMO.
PRIVACY ACT STATEMENT
AUTHORITY
Title 5, U.S.C. Section 301.
To provide information on individuals requesting authority to purchase a handgun.
Military Police records check.
Voluntary. However, authority to purchase a handgun will be withheld from individuals who do not provide information.
PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
SECTION A - INSTRUCTIONS
(Applies to al
applicants)
Applicant will complete Sections B, C, and D, then bring to the Police Records Bureau, Provost Marshal Office (PMO). PMO will complete
Section E. If no derogatory information is found, take directly to the Sheriff's Office in your county of residence. If derogatory information is
found and annotated, take to your company commander for completion of Section F, then to the Sheriff's Office in your county of residence.
You must register any firearm you store on post (e.g., in quarters or a unit arms room) at a Vehicle/Weapons Registration Center.
SECTION B - APPLICANT INFORMATION
(Must be completed by al
applicants)
Last Name First Name MI Rank SSN
DATE OF BIRTH
PLACE OF BIRTH
Day Month
Year Cit
County State
SECTION C - STORAGE LOCATION OF HANDGUN
Other
(Specify)
Unit Arms Room On-Post Quarters Off-Post Residence
SECTION D - APPLICANT CERTIFICATION
I understand that this authorization (if granted) does not give me the right to carry a weapon in violation of North Caroina General Statute
14-169 or military regulations. I am not a fugitive from justice. I never have been convicted of an offense punishable by one year or more
confinement, nor am I under indictment for such an offense. I do not have a conviction under the Lautenberg Amendment.
Signature of Applicant Date
Derogatory Information Found
SECTION E - PROVOST MARSHAL ACTION
Yes, as detailed below
(Complete offense information below)
(Must be completed for
al
No
(Skip to Section G)
MPR Number Offense Date
Continued on reverse if checked
SignatureDate of Criminal History Check PMO Stamp
SECTION F - COMPANY COMMANDER'S ACKNOWLEDGEMENT OF NOTIFICATION
SECTION G -
SHERIFF'S OFFICE
ACTION
(Complete onl
for handgun applicants with derogatory information listed in Section E above.)
Phone
This form must be presented within
5 days of date of PMO processing
to the Sheriff's Office in your
county of residence for
Signature
Date
al
handgun
urchase applicants .
PE v6.5
Previous edition is obsolete.
FB FORM 1380-E, MAY 2004 (IMSE-BRG-ESM)
(Must be completed by all applicants)
(Must be completed by all applicants)