Target Rifle Australia Inc

Application for Provisional License
Complete this form using details from the last license that was issued, if available.  
If you don't have a previous license, then complete any field you can and leave the 
remainder blank - do not guess.

Please be careful when putting in your details.... if you hit the ENTER key, 
the form will submit, whether you have finished your details or not.  
This will be fixed, but for now..... use the mouse to move to the new section.

Name: (Insert your full name)
Address: (Insert street number and name)
Town/City: (Suburb, town or city name)
Post Code:  State Association 
Email:  TRA License No. 
This License is valid from to
The categories for which you are/were accredited 
(more than one may be selected)

Smallbore Rifle Target Control
Air Rifle Scoring
Range Officer Jury
Experience (Write a summary of your Range Official experience)

I (insert your name) wish to remain an active 
TRA Range Official.  I understand that by returning this completed form, 
I will be issued with a Provisional Range Official License.  
I confirm that I have read, fully understand and agree to this arrangement 
Yes           No           Dated 

Compiled by Tricia Van Nus
Copyright © 2003 Target Rifle Australia Inc.
Revised: 31/7/03