S.S.A.A. (BRISBANE)
CAT H PARTICIPATION RETURN FOR 2015-2016
Dear Pistol Section Member
The pistol participation returns for the period 1st July 2015 to 30th June 2016 are to
be submitted to the club as required under Section 134, Subsection 1 and 2 of the
Weapons Act 1990. This information must be provided to each approved pistol
club/section, of which you are a financial member, by 28th July, 2016.
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The ‘STATEMENT OF PARTICIPATION REQUIREMENTS 2015-2016’ is to be
completed and signed.
The completed ORIGINAL STATEMENT with copies of participation records
(A recommendation by the Firearms Branch) must be returned to the
club by 28th July 2016.
The ORIGINAL STATEMENT and copies of participation records may be
returned in person or by post.
The STATEMENT form is available from:
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Club website – www.ssaabris.org.au;
Shop counter;
Shoot Captains at sign on.
Please be aware that in completing this form, you are making a STATEMENT and we
draw your attention to the following Sections of the Weapons Act 1990:
Section 158
False or misleading statements
(1)
A person must not state anything in a document required to
be kept, given or made under this Act that the person knows
is false or misleading in a material particular.
Maximum penalty
imprisonment.
Section 34
–
100
penalty
units
or
2
years
Contravention of licence conditions
(1)
A licensee must not contravene a condition of the licence.
Maximum penalty
imprisonment.
–
60
penalty
units
or
1
years
If you have been unable to meet your participation requirements due to illness,
overseas travel etc., please attach copies of documents to support your reasons for
non-compliance as participation is then calculated on a pro-rata basis. Participation
is pro-rata and if you purchased a pistol part way through the year please indicate on
participation return.
Deidre Phillips
Administration Secretary
V.006
Participation Return 2015-2016
S.S.A.A. (BRISBANE)
STATEMENT OF CAT H PARTICIPATION REQUIREMENTS FOR 2015-2016
1.
Licensee Details
Surname:
Please Print Clearly
Given Names:
Use Block Letters
Phone No:
Please Use Ink.
(Black or Blue only)
SSAA Membership No:
Annual Range Pass No.:
Address:
State:
Postcode:
2.
Participation Records
Licence Number
Concealable Firearms
Licence Details
Expiry Date
Classes of Handguns
Day
Month
Year
CLASSES OF HANDGUNS OWNED
Please tick which Class
of Handguns you own.
Please show total
number of shoots in
appropriate boxes for
each class
TOTAL NUMBER OF SHOOTS
A
Air Pistol
Comp
A
Prac
B
Centrefire (Up to .38”) and all Blackpowder
Comp
B
Prac
C
Centrefire (Over .38” up to .45”)
Comp
C
Testing
Comp
D
Prac
D Rimfire
or DO NOT own any
handguns.
I DO NOT OWN ANY HANDGUNS
I HAVE COMPLETED THE REQUIRED NUMBER OF SHOOTS FOR THE YEAR 1ST.JULY 2015 TO 30TH JUNE 2016.
Attach supporting
documents as required
I HAVE ATTACHED COPIES OF MY PARTICIPATION RECORDS FOR THE YEAR 1ST JULY 2015 TO 30TH JUNE
2016.
##(NO COPIES – NO PARTICIPATION)##
Please tick box if you
HAVE or HAVE NOT
met your participation
requirements.
SEE ATTACHED DOCUMENTS IN SUPPORT OF MY PARTICIPATION REQUIREMENT.
(EG MEDICAL CERTIFICATE, TRAVEL DOCUMENTS, MEMBERSHIP/POSSESSION OF HANDGUN LESS THAN A YEAR ETC)
I HAVE NOT COMPLETED THE REQUIRED NUMBER OF SHOOTS FOR THE YEAR 1ST JULY 2015 TO 30TH JUNE
2016
STATEMENT
Pursuant to Weapons
Act 1990, Sec 158.
Giving false or
misleading information
may incur a maximum
penalty of 100 penalty
units or 2 years
imprisonment.
I, the above named, do hereby state that I have correctly completed the above information required of me for this past
financial year, and have entered all the relevant information as per my participation record card as endorsed by an Approved
Range Officer.
(Pursuant to the Weapons Act 1990 Sec. 133)
The information contained in this document is true and correct.
Pursuant to the
Weapons Act 1990
Sec.34 B.
Day
PLEASE NOTE THE FOLLOWING:
Please Note:
*
*
A Penalty Unit is $110
SSAA (Brisbane)
Madden Range
292 Mt Petrie Road
BELMONT Q 4153
V.006
Year
Please sign and date
Contravention of
licence conditions may
incur a maximum
penalty of 60 penalty
units or 1 year
imprisonment.
POSTAL ADDRESS
Month
*
It is a Club requirement that this Form is completed, signed and dated, by all Pistol Section Members and returned to the
Club by the due date.
Pursuant to the Weapons Act 1990, Section 134 and Section 140 if you DO NOT inform the Club that you have
completed the appropriate number of shoots required, the Club is OBLIGATED to inform Weapons Licensing Branch of
your non-compliance.
The information contained in this document will only be used for its intended use.
ORIGINAL Completed Form to be returned to the Club by 28th July 2016.
ONLY the original signed form together with copies of the participation card is to be returned to the Club in person or posted
to the address opposite.
Participation Return 2015-2016
CAT H - PARTICIPATION REQUIREMENTS
THE PARTICIPATION REQUIREMENT APPLIES TO THE FINANCIAL YEAR AND IT IS THE
RESPONSIBILITY OF THE INDIVIDUAL LICENCE HOLDER TO INFORM THE CLUB OF HIS/HER
ACTUAL PARTICIPATION BY THE 28TH JULY EACH YEAR. FAILURE TO DO SO WILL RESULT IN
THE MEMBER’S DETAILS BEING FORWARDED TO THE FIREARMS BRANCH FOR THEIR ACTION.
THE FOLLOWING IS ONLY A GUIDE FOR THE PARTICIPATION REQUIREMENT
ONE CLASS OF HANDGUN:
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YOU MUST PARTICIPATE IN A MINIMUM OF SIX (6) HANDGUN COMPETITIONS IN THAT
CLASS.
I.E. YOUR ABSOLUTE MINIMUM WOULD BE SIX (6) COMPETITIONS.
TWO CLASSES OF HANDGUNS:
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YOU MUST PARTICIPATE IN A MINIMUM OF SIX (6) HANDGUN COMPETITIONS AND THESE
CAN BE MADE UP IN ONE OR BOTH CLASSES.
YOU MUST HAVE A MINIMUM OF FOUR (4) ATTENDANCES IN EACH CLASS.
I.E. YOUR ABSOLUTE MINIMUM WOULD BE SIX (6) COMPETITIONS AND TWO (2)
ATTENDANCES. IN OTHER WORDS A MINIMUM OF EIGHT (8) SHOOTS.
THREE CLASSES OF HANDGUNS:
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YOU MUST PARTICIPATE IN A MINIMUM OF SIX (6) HANDGUN COMPETITIONS AND THESE
CAN BE MADE UP IN ONE, TWO OR ALL THREE CLASSES.
YOU MUST HAVE A MINIMUM OF FOUR (4) ATTENDANCES IN EACH CLASS.
I.E. YOUR ABSOLUTE MINIMUM WOULD BE SIX (6) COMPETITIONS AND SIX (6)
ATTENDANCES. IN OTHER WORDS A MINIMUM OF TWELVE (12) SHOOTS.
FOUR CLASSES OF HANDGUNS:
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YOU MUST PARTICIPATE IN A MINIMUM OF SIX (6) HANDGUN COMPETITIONS AND THESE
CAN BE MADE UP IN ONE, TWO OR MORE CLASSES.
YOU MUST HAVE A MINIMUM OF FOUR (4) ATTENDANCES IN EACH CLASS.
I.E. YOUR ABSOLUTE MINIMUM WOULD BE SIX (6) COMPETITIONS AND TEN (10)
ATTENDANCES. IN OTHER WORDS A MINIMUM OF SIXTEEN (16) SHOOTS.
CLASS C (HIGH CALIBRE HANDGUN)
THE ONLY EXCEPTION TO THE ABOVE IS IF YOU HAVE TWO OR MORE CLASSES
OF HANGUN AND ONE OF THESE CLASSES IS A CLASS C (HIGH CALIBRE HANDGUN),
THEN YOU MUST ENSURE THAT YOU HAVE A MINIMUM OF FOUR (4) COMPETITIONS
FOR THAT CLASS AS WELL AS MEETING THE OVERALL REQUIREMENTS FOR THE
NUMBER OF CLASSES HELD
PLEASE NOTE
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ONLY ONE ATTENDANCE PER DAY, REGARDLESS OF CLASS, MAY BE COUNTED FOR
PARTICIPATION REQUIREMENTS.
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THE PARTICIPATION REQUIREMENTS ONLY APPLY TO THE CLASS OR CLASSES OF
HANDGUN(S) THAT YOU OWN AND NOT THE NUMBER OF HANDGUNS IN EACH CLASS.
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PARTICIPATION RECORD CARDS MUST BE COMPLETED EACH AND EVERY TIME YOU
ATTEND THE RANGE TO SHOOT.
THIS INCLUDES COMPETITION, PRACTICE AND
TESTING (CLASS C).
V.006
Participation Return 2015-2016