The application shall be completed upon the sworn oath of the applicant as provided in paragraph 5 of Section 12 of this act. The application form shall be provided by the Oklahoma State Bureau of Investigation and shall contain the following information in addition to any other information deemed relevant by the Bureau:

1. 1. Applicant's full legal name;
2. 2. Applicant's birth name, alias names or nicknames;
3. 3. Maiden name, if applicable;
4. 4. County of residence;
5. 5. Length of residency at the current address;
6. 6. Previous addresses for the preceding three (3) years;
7. 7. Place of birth;
8. 8. Date of birth;
9. 9. Declaration of citizenship and date United States citizenship was acquired, if applicable;
10. 10. Race;
11. 11. Weight;
12. 12. Height;
13. 13. Sex;
14. 14. Color of eyes;
15. 15. Social Security number;
16. 16. Current driver license number;
17. 17. Military service number, if applicable;
18. 18. Law enforcement identification numbers, if applicable;
19. 19. Current occupation;
20. 20. Authorized type or types of pistol for which the applicant qualified as stated on the certificate of training or exemption of training which shall be stated as either derringer, revolver, semiautomatic pistol, or some combination of derringer, revolver and semiautomatic pistol and the maximum ammunition capacity of the firearm shall be .45 caliber;
21. 21. An acknowledgment that the applicant desires a concealed handgun license as a means of lawful self-defense and self-protection and for no other intent or purpose;
22. 22. A statement that the applicant has never been convicted of any felony offense in this state, another state or pursuant to any federal offense;
23. 23. A statement that the applicant has none of the conditions which would preclude the issuing of a concealed handgun license pursuant to any of the provisions of Sections 10 and 11 of this act and that the applicant further meets all of the eligibility criteria required by Section 9 of this act;
24. 24. An authorization for the Oklahoma State Bureau of Investigation to investigate the applicant and any or all records relating to the applicant for purposes of approving or denying a concealed handgun license pursuant to the provisions of the Oklahoma Self-Defense Act;
25. 25. An acknowledgment that the applicant has been furnished a copy of the Oklahoma Self-Defense Act and is knowledgeable about its provisions;
26. 26. A statement that the applicant is the identical person who completed the firearms training course for which the original training certificate is submitted as part of the application or a statement that the applicant is the identical person who is exempt from firearms training for which the original exemption certificate is submitted as part of the application, whichever is applicable to the applicant;
27. 27. A conspicuous warning that the application is executed upon the sworn oath of the applicant and that any false or misleading answer to any question or the submission of any false information or documentation by the applicant is punishable by criminal penalty as provided in paragraph 5 of Section 12 of this act;
28. 28. A signed verification that the contents of the application are known to the applicant and are true and correct;
29. 29. Two separate places for the original signature of the applicant;
30. 30. A place for attachment of a passport size photograph of the applicant; and

31. 31. A place for the signature and verification of the identity of the applicant by the sheriff or the sheriff's designee.

    Information provided by the person on an application for a concealed handgun license shall be confidential except to law enforcement officers or law enforcement agencies.

Laws 1995, SB 3, c. 272, § 18, eff. September 1, 1995.