Application form for Arms License New - Gwalior

Schedule IIIFORM "A"Form of Application for an ArmsLicence(See Rule 51)Part A Identity of Applicant1. Name …………………………………………………………………….2. Father's /Husband's/Name………..………………………………………3. Place of Birth (Nationality).…………………………………………….4. Date of Birth in Christan era both in words andfigures…………………………………………………………………….5. Present Address………………………………………………………….(A) Nearest Police Station……………………………………………….6. Permanent Address……………………………………………………….(A) Nearest Police Station……………………………………………….7. Occupation and Designation of Office…………………………………..held if any (together with address)Signature Thumb ImpressionPART B- OTHER PARTICULARS OF APPLICANT9. Whether the applicant have been-(a) Covicted- if so, In the office thesentence and date of sentence(b) Ordered to executive a bond underChapter VIII of criminal procedure1973 (2 of 1974) for keeping the peaceof for behaviour--if so when and forwhat period.(c) Prohibited under Act 1959 or any other

law from having the arms ammunition10. (a) Whether applied for licence before if sowhat result.(b) Whether the applicant's licence before wasover suspended or cancelled revoked if sowhen(c) Whether the other member of applicant familyis in possession of an arms licence, if soparticulars of these11. Whether the applicant ---(a) is a licence of ex MP, if so , description of thearms held.(b) has safe place to keep the arms.(c) Is a bonafide tourist, if so(i) Name of the country to which he belongs, from having in his postand ammunition(ii) the probable date of his arrival in India.(iii) the probable date of his departure in India.PART C- PARTICULARS OF LICENCE12. Need for licence13. The form in which the licence is required14. Description of ammunition15. (a) Are where which application will be kept/manufactured act.(b) Place who arms/ammunition will be keptmanufactured act.(c)Place/route of import-export transport.16. Other particulars required in the relevant licenceForm.17. Any claims for special consideration.NOTE -Against column 12 the applicant should clearly mention thePurpose(s) for which the license is required such as use acquisition

carrying,manufacture sale transfer repair,convicted proof--test importreimport,export,reexport,self,protection sport display distraction ofwild animals which do injury to human beings,protection of cropsand cattle , practice shooting, temporary possession as bonafidetraveller visiting India etc.PART D --- FOR APPLICANT REQUIRING LICENCE FORIMPORT/EXPORT RE-XPORT AND RE-IMPORT18 (a) Whether the previous of the concern authority require under rule50 if any has been obtained and if so(b) the evidence support there ofDECLARATION ---I hereby declare that the above particulars given in the applications arecomplete and correct to the best of my knowledge and I understand in theevent of my information being found false or incorrect at any state I amliable to proceed against and action taken under the relevant provision ofthe Arms act 1950 the Arms Rules 1962 .Place :Date :Signature Thumbimpression of Applicant