Request PTA Letter

Your privacy is important to us. SSAA Mount Isa Branch (Q13) collects personal information to manage the branch and for administrative purposes. We do not store your data on the web site.  We do not share your personal information with third parties except as required by law. You may request access to the information we hold about you at any time. If you are not comfortable with supplying your information online please contact us via the Contact Us link on the home page

Please enable JavaScript in your browser to complete this form.

This form is for a Permit to Aquire a CAT H Firearm not for licence renewals

Details Layout Capacity

Name *

First

Middle

Last

Email *

Phone

Address *

Address Line 1

City

State / Province / Region

Postal Code

Licence Number (H) *

Expiry Date *

Action *

• Semi Automatic
• Revolver
• Other

Other Details

Calibre *

Barrel Lenght (in mm) *

Capacity (Magazine or Cylinder)

Selected Value: 0

Submit