Form Fb 1380 E Details

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QuestionAnswer
Form NameFb 1380 E
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names1380e, 1380 e fillable, fort bragg pmo 1380e, 1380 e form

Form Preview Example

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.

AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USES: DISCLOSURE:

PRIVACY ACT STATEMENT

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.

SECTION A - INSTRUCTIONS (Applies to all 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

all applicants)

 

 

 

 

 

 

 

 

 

Last Name

 

First Name

MI

 

Rank

 

SSN

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

PLACE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

Day

 

Month

Year

City

County

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

SECTION C - STORAGE LOCATION OF HANDGUN

(Must be completed by all applicants)

Unit Arms Room

On-Post Quarters

Off-Post Residence

Other (Specify)

SECTION D - APPLICANT CERTIFICATION

(Must be completed by all applicants)

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 all

No (Skip to Section G)

 

 

 

 

 

MPR Number

Offense

Date

Continued on reverse if checked

 

 

Date of Criminal History Check

Signature

PMO Stamp

SECTION F - COMPANY COMMANDER'S ACKNOWLEDGEMENT OF NOTIFICATION

SECTION G -

(Complete only for handgun applicants with derogatory information listed in Section E above.)

SHERIFF'S OFFICE

 

 

 

 

ACTION

 

Phone

 

 

 

 

This form must be presented within

 

 

5 days of date of PMO processing

 

 

to the Sheriff's Office in your

Signature

Date

county of residence for

 

 

all handgun purchase applicants .

 

 

 

FB FORM 1380-E, MAY 2004 (IMSE-BRG-ESM)

Previous edition is obsolete.

PE v6.5

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