SCHEDULE  III

FORM 'A'

FORM OF APPLICATION FOR AN ARMS LICENCE

(See Rule 51)

PART - A IDENTITY OF APPLICANT 

1.  Name                               .................................................................................................................

2.  Fatehr's/Husband name    .................................................................................................................

3.  Place of birth (Nativity)    .................................................................................................................

4. Date of birth in christian era   .............................................................................................................

    both in words and figures.

5.  Present address   .............................................................................................................................

                                ............................................................................................................................

  * Nearest Police Station   ..................................................................................................................

6.  Permament Address   ....................................................................................................................

                                       ................................................................................................................... 

* Nearest Police Station ....................................................................................................................

7.  Occupation and designation   ........................................................................................................

      of office, held if any.

8.                                                                                                                              Signature/Thumb impression

(NOTE :- Nearest Police Station means the Police Station under whose jurisdiction the place given in the address comes.)

PART - B- OTHER PARTICULARS OF THE APPLICANT

9.  Whether the applicant has been 

     a) Convicted if so the offence (s) the   .................................................................................................................

        sentence and date of sentence          ................................................................................................................

    b)  Order to execute a bond under       ................................................................................................................

         chapter VIII of the code of criminal   .............................................................................................................

        procedure, 1973 (2 of 1974) for          ...........................................................................................................

        keeping the peace of for good behavior   .........................................................................................................

        if so, when and for what period.

 c)   Prohibted under the arm act, 1959       ............................................................................................................

     or any other law from having the arms/ammunition : ...........................................................................................

10.  a)  Whether the applicant applied for a licence   ...............................................................................................

          before it so, when to whom and with what result.   ........................................................................................

      b)  Whether the applicant licence  was ever             ..........................................................................................

           suspended or cancelled/revoke if so, when          ..........................................................................................

          and by whom and on what account.                     ..........................................................................................

    c)  Whether any other member of the applicant's      ...........................................................................................

         femily is in possession of an arms licence, if so,      .........................................................................................

        particulars there of :

11.  Whether the applicant :-

       a)  is a licence or extemptee, if so, description          ........................................................................................

          of the arm held :

       b)  has a safe place to keep the arms                       ..........................................................................................

       c)  is a bonafide tourist, if so                                    ...........................................................................................

           i)  Name of country to which he belongs               ..........................................................................................

          ii)  Whether he is prohibited by law of his               ..........................................................................................

              country from having in his possession any            ..........................................................................................

             arms and ammunition.

        iii)  The probable date of his arrival in India.              ..........................................................................................

NOTE : A bonafide tourist is permitted to bring in to India, Subject ot the condition specifide in section 10 and in rule 32, arms and ammunition in reasonable quantities for his use for purpose only of sport and for no other purpose.

PART - C PARTICULARS OF THE LICENCE

12.  Need for licence                    ..........................................................................................

13.  The area in which the licence    ..........................................................................................

      is required.

14.  Description of arm/ammunition    ..........................................................................................

15.  a) Area within which applicant    ..........................................................................................

           wishes to carry arms.

    b)  Place where arms/ammunition    ..........................................................................................

       will be kept/manufactured etc.

    c)  Place/Route of Import/Export        ..........................................................................................

       transport.

16.  Other particulars required as in     ..........................................................................................

       the relevant licence from.

17.  Any claims for special consideration     ..........................................................................................

NOTE : Against column 12 the applicant should clearly mentioned the purpose (s) for which the licence is required such as, use, acqiaition, possessinon, carrying, manufacture sale, transfer, repair, convert, proof-test, import, re-import, export, re-export, transport, self protection, sport, display destruction of wild animals which do injury to human belongs/cattle, protection of crops and cattle, target practice/shooting temporary possession as bona-fide travaller visiting India etc.

PART - D FOR APPLICANT REQUIRING LICENCE FOR IMPORT/EXPORT/TRANSPORT/RE-EXPORT AND RE-IMPORT.

 

18.  (a)  Whether the previous panction of the concerned     ..........................................................................................

             authority required under rule 50 if any, has been     ..........................................................................................

            obtained, and if so,                                                    ..........................................................................................

DECLARATION :

    I hereby decalare that the above particulars given in the applicant are true complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at my stage. I am liable to be proceeded against and action taken under the relevant provitions of the arms Act, 1959, the Arm Rules, 1962, and other central enactments or the law for the time being in force.

 

 

Signature Thumb Impression of applicant.

Date     ..........................................................................................  

Place      ..........................................................................................

 

( NOTE : Strike off the entires not relevent )

WARNING :- SUPRESSION OF ANY FACTUAL INFORMATION OF FURNISHING OF ANY FALSE OR 

                        WRONG INFORMATION IN THE APPLICATION FORM IS VIOLATION OF RULE B-A 

                        WILL RENDER THE APPLICANT LIABLE FOR.