SCHEDULE – III

Form ‘A’

Form of application for an Arm Licence

(See Rule 51)

  I,………………………………..S/o,…………………………  request that a licence in form…………………………………………………………. for…………………….….………may be granted to me. The necessary particulars are stated below :-

  Part A – Identity of application

1.       

 

(a)    Present address

 

(b)    Permanent address

 

2.       

Date of birth                :           age

 

3.       

Occupation and designation of office held any

 

4.       

Signature/ thumb impression

Part B – Other particular of applicant

5.       

Whether the applicant has been –

(a)      Convicted – if so, (the officers),the  sentence and ate of sentence :

 

(b)      Ordered to execute a bond under chapter VIII of Cr. P. C. for keeping the peace or for good behavior – if so when and for what period :

 

(c)      Prohibited under the Arms Act, 1959 or any other law from having the arms/ ammunition.

 

 

 

 

 

 

 

 

 

                             

6.

(a)       Whether the applicant applied for a licence before – if so when to whom & with what result.

 

(b)       Whether the applicant’s licence was over suspended or cancelled/ revoked if so, when and by whom and on what account.

 

(c)       Whether any other member of the applicant’s family is in possession of an arms licenses – if so particulars thereof.

 

 

7.       

Whether the applicant :-

(a)        Is a licensee or esteem if so, description of arms hold.

 

(b)        Has a safe place for keep the arm.

 

 

 

Part C – Particulars of Licence

 

8.       

Need for Licence.

9.       

Description of arms / ammunition

10.       

(a)            Area within which applicant wishes to carry arms.

 

(b)            Place where arms/ ammunition will be kept/ manufactured, etc.

 

(c)            Place route or import/ export/transport.

 

11.       

Any other particulars required in the relevant licence form.

 

12.       

Any claim for special consideration

  Part D – For applicant requiring Licence for import/ export/transport/ and re-import

13.       

(a)             Whether the pervious sanction of the concerned authority under rule 50, if any has been obtained and if so.

(b)             The evidence in support thereof.

              I declare that above particulars are true and correct to the best of my knowledge and belief.

 

Dated…………..                                                                  Signature of applicant