Republic of Guyana
APPLICATION FOR FIREARM LICENCE (INDIVIDUAL)
INSTRUCTION: Please complete application form in CAPITAL LETTERS.
Failure to complete all sections will affect processing of the application.
If you need more space for any section, print an additional page containing the
appropriate section, complete and submit with the application.
Last Name:
Maiden Name:
Photograph of
First Name:
Applicant
Middle Name:
Alias:
FOR OFFICIAL USE ONLY
Police Division: __________________ Date: ______/____/____ Form Number: _____________
yyyy/mm/dd
Applicants are required to submit two (2) recent passport size photographs, along with the following documents
to facilitate processing of the application:
DOCUMENTS REQUIRED (Copies and original for verification, where applicable)
1. Vehicle Registration (if applicable)
2. Business Registration (if applicable)
3. Permits/Licences (if applicable)
4. Business Financial Statement (if applicable)
5. VAT returns (if applicable)
6. Guyana Revenue Authority (GRA) tax receipts
7. Evidence of NIS/PAYE contributions for employees (if applicable)
8. Title/Lease/Transport to land/property (if applicable)
9. Visa/Work Permit, Naturalization or Registration Certificate (if applicable)
10. National Identification Card or Passport
11. Two (2) recent testimonials in support of the application. (Justices of the Peace are not accepted as referees)
12. Firearms Licencing Approval Board Medical Report
13. Proof of current address (one utility bill)
NOTE: a. Applicants are advised that the submission of an endorsement of membership of recognised Associations,
e.g. Guyana Rice Producers’ Association (GRPA), Guyana Gold and Diamond Miners’ Association
(GGDMA) and the Guyana National Rifle Association (GNRA), will be helpful.
b. Applicants for a Joint Firearm Licence(first time) are advised to complete an Individual Application
Form and submit with the requisite supporting documents, and a covering letter indicating that it is a
joint application. Each individual will complete an application.
c. Applicants are advised that consideration will be given for a second firearm licence two(2) years
after being approved for the first.
PROCESSING FEE
All successful applicants are required to pay a processing fee. The fee structure is as follows:
PS: The fees are subjected to change.

Shotgun

Handgun (pistol)

Rifle
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Application Process for a Firearm Licence
The process from application to final approval or rejection for a firearm licence is as follows:
1. The applicant completes the Firearm Licence Application Form, and submits along with a Medical
Report for Firearm Licence, and the required documentation to ONE of the following locations:
a. The nearest Police Station; or
b. The Divisional Commander, Divisional Headquarters; or
c. The Commissioner of Police, Police Headquarters, Eve Leary, Georgetown; or
d. The Ministry of Home Affairs.
2. The applicant will be issued with an acknowledgement letter by the Commissioner of Police.
3. The Commissioner of Police will forward the application to the Criminal Investigation Department,
Special Branch, and the relevant Divisional Commander, as the case may be, for processing to commence.
4. During the processing of the application, police officers will visit the residence of the applicant, who will
be required to give a statement, and have his/her fingerprints taken.
5. The Divisional Commander will verify the information contained in the application, and submit a report
to the Commissioner of Police with a recommendation.
6. The Criminal Investigation Department and Special Branch will communicate the findings of
their investigations to the Commissioner of Police.
7. On receipt of the required reports, the Commissioner of Police will forward his findings and recommendation
to the Minister of Home Affairs for review by the Firearms Licensing Approval Board.
8. The Firearms Licensing Approval Board will review the recommendation of the Commissioner of
Police, and make a recommendation to the Minister of Home Affairs.
9. The Minister of Home Affairs will grant or withhold his “no objection” to the recommendation of
the Firearms Licensing Approval Board.
10. The Commissioner of Police will be notified of the outcome of the application.
11. The applicant will be notified, in writing, by the Commissioner of Police of the outcome of
his/her application.
12. Successful applicants will be required to pay a processing fee at the respective Divisional Firearm
Registry, following which they will commence the process of purchasing, licensing and uplifting a firearm
and ammunition.
13. Unsuccessful applicants are advised of their right to appeal the refusal of their applications for
firearm licences under the Firearms Act. The appeal must be submitted to H.E the President.
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A. GENERAL INFORMATION
Last Name :
Maiden Name:
First Name:
Alias:
Middle Name:
Has your name ever been changed?
Yes
No
If YES, what was your previous name? _____________________________________________
How was it changed?
Deed Poll
Court Order
Date of Birth: ______/____/____
Place of Birth:
Nationality:
yyyy/mm/dd
Citizenship By:
Birth
Naturalization
Other (Please Specify): ____________________
Dual Citizenship
(Please Specify): ____________________
Sex:
Male
Female
Ethnicity:
Marital Status:
Single
Married
Divorced
Separated
Widowed
Common Law
Immigration Status:
Voluntary Remigrant
Involuntary Remigrant
Not Applicable
Address:
Present: _____________________________________________________________________________________
_____________________________________________________________________________________
Previous: _____________________________________________________________________________________
_____________________________________________________________________________________
Tel. No.:
Cell No.:
E -mail:
National I.D. No.:
Passport No.:
TIN:
Profession or Occupation: __________________________________________________________________
If self-employed, please complete Section C
Name of Employer:
Address of Employer: ____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Tel. No.:
Fax No.:
E -mail:
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B.
BACKGROUND INFORMATION
1.
Have you ever applied for a firearm licence?
Yes
No
If YES, please provide details __________________________________________________
__________________________________________________________________________
2.
Have you ever been refused a firearm licence?
Yes
No
3.
Has your firearm licence ever been revoked?
Yes
No
4.
Has your firearm ever been seized?
Yes
No
If YES, was it returned to you?
Yes
No
5.
Have you ever lost or misplaced your firearm?
Yes
No
If YES, complete section E.
6. Is any other member of your household a licensed
firearm holder?
Yes
No
If YES, please state name __________________________________________________
7. Has any other member of your household ever been
refused a firearm licence?
Yes
No
8.
Have you ever been convicted or discharged
on any offence?
Yes
No
9.
Have you ever been treated for emotional problems,
drugs or alcohol abuse?
Yes
N o
10.
Do you suffer from Epilepsy (Fits)?
Yes
No
11.
Have you ever been placed on bond by the court?
Yes
No
12.
Have you ever been charged by the police?
Yes
No
If YES, please state date and offence(s)
_______________________________________
13. Are you currently awaiting trial for any offence?
Yes
No
If YES, please provide details _________________________________________________
C. BUSINESS INFORMATION FOR SELF-EMPLOYED PERSONS
Are you a businessman/businesswoman?
Yes
No
Do you have a registered business?
Yes
No
If YES, please state VAT Registration Number:
If NOT registered, state reason:
Type of Business:
Name of Business:
Address: _______________________________________________________________________________________
______________________________________________________________________________________
Tel. No.:
Fax No.:
E-mail:
D. TYPE OF FIREARM REQUIRED
Pistol/Revolver
Shotgun
Rifle
Bolt Action
Semi-Automatic
.22
12 Gauge
.22
.
.
.25
16
Gauge
.223
.
.32
20
Gauge
.243
9 mm
.270
NOTE: The Firearms Licensing Approval Board will exercise its discretion in recommending applicants for
9mm pistols.
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E. FIREARM BACKGROUND INFORMATION
If you have answered YES to Section B 3, 4 and 5, please give details:
______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
F. USE OF THE FIREARM
Personal Protection
Protection of Business
Protection of Crops/Livestock
Hunting
Other (Please Specify): ______________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
G. AMMUNITION REQUIRED
Please indicate the maximum amount of ammunition you desire to have in your possession at any one time.__________
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H. PARTICULARS OF REFEREES (Justices of the Peace are not accepted as referees)
Name of Referee:
Name of Referee:
Address: ______________________________________
Address: _______________________________________
______________________________________
_______________________________________
Tel. No.:
Cell No.:
Tel. No.:
Cell No.:
Profession or Occupation:
Profession or Occupation:
Place of Employment:
Place of Employment:
Name & Address of Employer:
Name & Address of Employer:
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Signature:
Signature:
Date:
Date:
By signing this form, you are attesting to the fact that you
have known the applicant ________________________
for a period of five (5) years or more and that the
information given by the applicant is true and correct to
the best of your knowledge.
By signing this form, you are attesting to the fact that you
have known the applicant ________________________
for a period of five (5) years or more and that the
information given by the applicant is true and correct to
the best of your knowledge.
I. FAMILY INFORMATION
Please print additional pages, as may be necessary.
SECTION A
Present Address
(if deceased give last address
Full Name
Relationship
Date of Birth
and date)
SEE NOTE 1
yyyy/mm/dd
Present Occupation
SPOUSE OR
COMMON-LAW
PARTNER
MOTHER
FATHER
NOTE 1: If no spouse or common-law partner is listed in Section A, read and sign below.
I certify that I do not have a spouse or common-law partner.
________________________
_______________
Signature
Date
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SECTION B
CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age
or place of residence)
Present Address
(if deceased give last address and
Full Name
Relationship
Date of Birth
Marital
date)
SEE NOTE 2
yyyy/mm/dd
Status
Present Occupation
NOTE 2: If no children are listed in Section B, read and sign below.
I certify that I do not have any children, either biological or adopted. _____________________ _____________
Signature Date
SECTION C
BROTHERS AND SISTERS (Include ALL brothers and sisters, ALL half-brothers and half-sisters and
stepbrothers and stepsisters.)
Present Address
(if deceased give last address and
Full Name
Relationship
Date of Birth
Marital
date)
SEE NOTE 3
yyyy/mm/dd
Status
Present Occupation
NOTE 3: If no brothers and sisters are listed in Section C, read and sign below.
I certify that I do not have any brothers and sisters. _______________________ _____________
Signature Date
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J. DECLARATION
I hereby declare that the information provided by me is true and correct to the best of my knowledge.
_______________________ _____________________
Signature of Applicant Date
Person preparing this application other than applicant
I hereby certify that this application was prepared by me on the basis of information of which I have knowledge.
_______________________ _____________________
Signature Date
If the applicant is unable to sign, the person filling the form should sign the form and the applicant should place his
right thumb print in the space reserved for signature of applicant.
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