SCHEDULE – III

FORM ‘ A ‘

FORM OF APPLICATION FOR AN ARMS LICENCE

( SEE RULE 51)

PART(A) - IDENTITY OF APPLICANT

1. Name	:-
2. Father’s/Husband’s Name	:-
3. Place of Birth	:-
4. Date of Birth in Chriatian era both in words and figures	:-
5. Present address	:-
(a) Nearest Police Station	:-
6. Permanent Address	:-
(a) Nearest Police Station	:-
7. Occupation and Designation of Office hold if any (together with address)	:-
8. Renewal for the Year	:-
11. Occupation of death the person	:-
12. Age of the death person at that time	:-
13. kind of medically attention if any	:-

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 APPLICANT

9. WHETHER THE APPLICANT HAS BEEN :-

(A) CONVICTED – IF SO, THE OFFANCE (S) , THE SENTENCE AND DATE OF SENTENCE :-

(B) ORDERED TO EXECUTE A BOND UNDER CHAPTER VIII OF CODE OF CRIMINAL PROCEDURE 1973 (2 OF 1974) FOR KEEPING THE PEACE OR FOR GOOD BEHAVIOUR, IF SO, WHEN AND FOR WHAT PERIOD :-

10. (A) WHETHER THE APPLICANT APPLIED FOR A LICENCE BEFORE IF SO, WHEN TO WHOME AND WITH WHAT RESULT :-

(B) WHETHER THE APPLICANT LICENCE WAS EVER SUSPENDED OR CAN CELLED/REVALIED IF SO, WHEN AND BY WHOME AND AN WHAT ACCOUNT :-

(C) WHETHER ANY OTHER MEMBER OF THE APPLICANT’S FAMILY IS IN POSSESSION OF AN ARMS LICENCE, IF SO, PARTICULARS THEREOF :-

11. WHETHER THE APPLICANT

(A) IS A LICENCE OR EXEMPTEE, IF SO, DESCRIPTION OF THE ARMS HELD :-

(B) HAS A SAFE PLACE TO KEEP THE ARMS :-

(I) NAME OF THE COUNTRY TO WHICH HE BELONG :-

(II) WHETHER HE IS PROHGIBITED BY THE LAWS OF HIS COUNTRY

FROM HAVING IN HIS POSSESSION ANY ARMS AND AMMUNITION :-

(III) THE PROBABLS DATE OF HIS ARRIVAL IN INDIA :-

NOTE: A BONAFIDE TOURIST IS PERMITTED TO BRING INTO INDIA, SUBJECT TO THE CONDITIONS SPECIFIED IN SECTION 10 AND IN RULE 32, ARMS AND AMMUNITION IN REASONABLE QUANTIES FOR HIS USE FOR PURPOSE ONLY OF SPORT AND FOR NO OTHER PURPOSE.

PART(C) - PARTICULARS OF LICENCE

12. NEED FOR LICENCE	:-
13. THE FORM IN WHICH THE LICENCE IS REQUIRED	:-
14. DESCRIPTION OF ARMS/AMMUNITION	:-
(A) AREA WITHIN WHICH APPLICANT WISHES	:-
(B) PLACE WHERE ARMS/AMMUNITION WILL BE KEPT/MANUFACTURED ETC	:-
(C) PLACE /ROUTE OF IMPORT EXPORT TRANSPORT	:-
15. OTHER PARTICULARS REQUIRED AS IN THE RELEVANT LICENCE FORM	:-
16. ANY CLAIMS FOR SPECIAL CONSIDERATION	:-

NOTE: AGAINST COLUMN 12 THE APPLICANT SHOULD CLEARLY MENTION THE PURPOSE (3) FOR WHICH THE LICENCE IS REQUIRED SUCH AS, USE, ACQUISITION, POSSESSION, CARRYINGMANUFACTURES, SALE, TRANSFER, REPAIR, CONVERT, PROOF-TEST, IMPORT, REIMPORT, EXPORT, RE-EXPORT, TRANSPORT, SELF PROTECTION SPORT, DISPLAY, DISTRUCTION OF WILD ANIMALS WHICH DO INJURY TO HUMAN BEINGS/CATTLE PROTECTION OF CROPS AND CATTLE TARGET PRACTIES/SHOOTING, TEMPORARY POSSESSION AS BONAFIDE TRAVELLER VISITING INDIA ETC.

PART(D) - FOR APPLICANT REQUIRES LICENCE FOR

IMPORT/EXPORT/TRANSPORT/RE-EXPORTAND/RE-IMPORT

18. (A)WHETHER THE PREVIOUS SANCTION OF THE CONCERNED AUTHORITY REQUIRED UNDER RULE 50 IF ANY, HAS BEEN OBTAINING AND , IF SO.

(B)THE EVIDENCE IN SUPPORT THEREOF.

DECLARATION

I HEREBY DECLARE THAT THE ABOVE PARTICULARS GIVEN IN THE APPLICATION ARE TRUE , COMPLETE AND CORRECT TO THE BEST OF MY KNOWLADGE AND BEHALF I UNDERSTAND THAT IN THE EVENT OF ANY INFORMATION BEING FOUND FALSE OR INCORRECT AT ANY STAGE, I AM LIABLE TO BE PROCEEDED AGAINST AND ACTION TAKEN UNDER THE RELEVANT PROVISIONS OF THE ARMS ACT, 1969, THE ARMS RULES, 1962 AND OTHER CENTRAL ENACIMENTS OR THE LAW FOR THE TIME BEING IN FORCE.

SIGNATURE /THUMB IMPRESSION OF APPLICANT.

PLACE:

DATE:

(NOTE : STRIKE OFF THIS ENTRIES NOT RELEVANT)

WARNING:- SUPRESSION OF ANY FACTUAL INFORMATION OR FURNISHING OF ANY FALSE OR WRONG INFORMATION IN THE APPLICATION FORM IN VIOLATION OR RULE 51 –A WILL RENDER THE APPLICANT LIABLE FOR PUNISHMENT UNDER SECTION 30 OF THE ARMS ACT, 1969.