FORM 9

(See rule 154 (8))

Application for Shotfirer’s Permit

I  hereby apply for a Shortfire’s Permit under Explosives Rule

 

 

Replies to be given in this column

1.

Name of applicant in full

 

2.

Age of applicant

 

3.

Postal Address

 

 

Pin Code No.

 

 

Telephone No.

 

4.

Qualification and experience of applicant

 

 

I Certify that the above particulars are true and correct

 

 

(Signature of applicant)

 

Date of application………………………..

Note :- Please enclose certified copies of certificates showing date of birth, educational qualification and experience.