Form BUS1513D "License Application for Nonresident Full-Time Students in New Hampshire" - New Hampshire

What Is Form BUS1513D?

This is a legal form that was released by the New Hampshire Fish and Game Department - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the New Hampshire Fish and Game Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form BUS1513D by clicking the link below or browse more documents and templates provided by the New Hampshire Fish and Game Department.

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Download Form BUS1513D "License Application for Nonresident Full-Time Students in New Hampshire" - New Hampshire

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N.H. FISH AND GAME DEPARTMENT
BUS1513D.indd / REV. 04/19
11 Hazen Drive, Concord, NH 03301
FOR OFFICE USE ONLY
(603) 271-3421
License #_________________
wildnh.com
Date Issued_______________
LICENSE APPLICATION FOR
NONRESIDENT FULL-TIME STUDENTS IN NEW HAMPSHIRE
RSA 214:5-b
A nonresident full-time student in a public or private high school, post graduate program, or post secondary educational
institution in New Hampshire, may purchase a license for hunting and fishing at resident rates. Student must be registered for
at least 12 credit hours per semester and show proof of his or her status. This license is only available at N.H. Fish and Game
Department Headquarters in Concord.
I hereby make application to the Director of the Fish and Game Dept. for the following license(s):
PLEASE TYPE OR PRINT CLEARLY
_____________________________________________________________________________________________________________________________
Name of Applicant
Date
________________________________________________________________________________________(______)______________________________
Street and Mailing Address
Daytime Telephone
________________________________________________________________________________________(______)______________________________
City/Town
State
Zip
Home Telephone
Date of Birth__________ Height__________
Weight__________
Sex:
M or F
Age __________ Hair__________ Eyes__________
Sportsperson statement: I certify that my privileges to fish, hunt, trap, guide, take or land lobsters, or engage in commercial marine fishing activities are not under suspension or revocation in any state
or province (RSA 214:18b) and further certify that I am aware that any conviction of certain felonies in any state or province prohibits the possession of a firearm or other dangerous weapon.
All applicants must include a copy of their
Signature of Applicant___________________________________________________
current valid student identification card.
Signed subject to penalties for making unsworn false statements (RSA 641:3)
DONATIONS:
❑ WILDLIFE LEGACY
$10.00
❑ NONGAME PROGRAM
$5.00
All applicants for hunting licenses listed below must present a previously held hunting license issued by any state or proof of
completion of a Hunter Safety instruction course. Anyone wishing to purchase an Archery License must present either
a previous Archery License or a certificate of completion for a state-sponsored Bowhunter Education Course.
NEW HAMPSHIRE RESIDENT RATES
FISHING LICENSES
HUNTING LICENSES
❑ Wildlife Habitat Fee
2.50
❑ Freshwater Fishing....................................
45.00
$
$
(required on all Hunting Licences)
❑ Combination Hunting and Fishing .............56.00
❑ 1 Day – Time and Date: ______________ ...10.00
❑ Archery .......................................................32.00
❑ Recreational Saltwater Fishing..................11.00
❑ Special Deer Archery – All Ages ................26.00
❑ Hunting .......................................................32.00
❑ Muzzleloader ..............................................16.00
❑ Pheasant ....................................................31.00
BE SURE TO INCLUDE:
❑ Bear – All Ages ...........................................16.00
• A check or money order made
payable to the N.H. Fish and Game
❑ Turkey Permit – All Ages ............................16.00
Department.
❑ Migratory Waterfowl ..................................11.00
• Copy of valid student ID card.
❑ Federal Duck Stamp ..................................25.00
• A business-size, self-addressed,
Sub-total
$_________
stamped envelope.
Add $2.00 Transaction Fee (required)
$
2.00
TOTAL AMOUNT ENCLOSED
$________
Do you intend to hunt migratory game birds – if Yes call 1-800-207-6183 or nhfishandgame.com for HIP validation number.
N.H. FISH AND GAME DEPARTMENT
BUS1513D.indd / REV. 04/19
11 Hazen Drive, Concord, NH 03301
FOR OFFICE USE ONLY
(603) 271-3421
License #_________________
wildnh.com
Date Issued_______________
LICENSE APPLICATION FOR
NONRESIDENT FULL-TIME STUDENTS IN NEW HAMPSHIRE
RSA 214:5-b
A nonresident full-time student in a public or private high school, post graduate program, or post secondary educational
institution in New Hampshire, may purchase a license for hunting and fishing at resident rates. Student must be registered for
at least 12 credit hours per semester and show proof of his or her status. This license is only available at N.H. Fish and Game
Department Headquarters in Concord.
I hereby make application to the Director of the Fish and Game Dept. for the following license(s):
PLEASE TYPE OR PRINT CLEARLY
_____________________________________________________________________________________________________________________________
Name of Applicant
Date
________________________________________________________________________________________(______)______________________________
Street and Mailing Address
Daytime Telephone
________________________________________________________________________________________(______)______________________________
City/Town
State
Zip
Home Telephone
Date of Birth__________ Height__________
Weight__________
Sex:
M or F
Age __________ Hair__________ Eyes__________
Sportsperson statement: I certify that my privileges to fish, hunt, trap, guide, take or land lobsters, or engage in commercial marine fishing activities are not under suspension or revocation in any state
or province (RSA 214:18b) and further certify that I am aware that any conviction of certain felonies in any state or province prohibits the possession of a firearm or other dangerous weapon.
All applicants must include a copy of their
Signature of Applicant___________________________________________________
current valid student identification card.
Signed subject to penalties for making unsworn false statements (RSA 641:3)
DONATIONS:
❑ WILDLIFE LEGACY
$10.00
❑ NONGAME PROGRAM
$5.00
All applicants for hunting licenses listed below must present a previously held hunting license issued by any state or proof of
completion of a Hunter Safety instruction course. Anyone wishing to purchase an Archery License must present either
a previous Archery License or a certificate of completion for a state-sponsored Bowhunter Education Course.
NEW HAMPSHIRE RESIDENT RATES
FISHING LICENSES
HUNTING LICENSES
❑ Wildlife Habitat Fee
2.50
❑ Freshwater Fishing....................................
45.00
$
$
(required on all Hunting Licences)
❑ Combination Hunting and Fishing .............56.00
❑ 1 Day – Time and Date: ______________ ...10.00
❑ Archery .......................................................32.00
❑ Recreational Saltwater Fishing..................11.00
❑ Special Deer Archery – All Ages ................26.00
❑ Hunting .......................................................32.00
❑ Muzzleloader ..............................................16.00
❑ Pheasant ....................................................31.00
BE SURE TO INCLUDE:
❑ Bear – All Ages ...........................................16.00
• A check or money order made
payable to the N.H. Fish and Game
❑ Turkey Permit – All Ages ............................16.00
Department.
❑ Migratory Waterfowl ..................................11.00
• Copy of valid student ID card.
❑ Federal Duck Stamp ..................................25.00
• A business-size, self-addressed,
Sub-total
$_________
stamped envelope.
Add $2.00 Transaction Fee (required)
$
2.00
TOTAL AMOUNT ENCLOSED
$________
Do you intend to hunt migratory game birds – if Yes call 1-800-207-6183 or nhfishandgame.com for HIP validation number.