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 (Nativity) ________________________________

4. Date of Birth in Christian era both in word and figures ___________________

5. Present Address ______________________________________

6. Nearest Police Station __________________________________

7. Permanent Address _____________________________________________

8. Occupation and Designation of office if any (together with address) __________________________________________________

Signature/Thumb Impression

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

PART B : OTHERS PARTICULARS OF APPLICANT

9. Whether the applicant has been:

a) Convicted if so, office (S), the sentence and the 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 goods behavior -if so, when and for what period.

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

10. a) Whether the applicant applied for a license before if, so, when

To whom and with what result.

b) Whether the applicant, a license was ever suspended or cancelled/revoked if so, when and by whom and on what account.

c) Whether any other number of the applicants family is in possession of any arms license if so, particular there of.

11. Whether the applicant:

a) Is a license or exempted, if so, description of the arms held.

b) Has a safe place to keep the arms.

c) Is a bonafide tourist, if so.

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

ii). Whether he is prohibited by the laws of his country. From

having in his possession any arm and ammunition

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

Note:- A bonafide tourist is permitted to being into India subject to the condition specified in section 10 and in rule 32. Arms and Ammunition in reasonable quantities for his use for, purpose only sport and for no other purpose.

Part C: PARTICULARS OF LICENCE

12. Need for license.

13. The form in which the license is required.

14. Description of arms 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 license form.

17. Any claims for special consideration.

Note:- Against column 12 the applicant. Should clearly mention the purpose (S) for which the license is required such as user acquisition, possession, carrying manufacture, sale, transfer, repair, proof test, import, re-import, export, re-export transport, self protection, sport, display, distraction of wild animals which do injury to human beings/cattle, protection of crops and cattle, target practice/shooting, temporary possession as bonafide traveler visiting India etc.

PART D: - FOR APPLICANT REQUIRED LICENSE FOR IMPORT/EXPORT/TRANSPORT/RE-EXPORT AND RE-IMPORT

18. a) Whether the previous sanction of the concerned authority required under rule 50 if any,

has been obtained, and if so.

b) The evidence in sport there of.

Declaration:

I hereby declare 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 any stage, I am liable to be proceeded against the action taken under the relevant provision of the arm act. 1952, the arms rule, 1962 and other central enactment's or the law for the time being in force.

Signature/Thumb Impression of Applicant.

Place:

Date:

Note: Strike of entries not relevant.

Warning: Suppression of any factual information or furnishing of any false or wrong information

in the applicant form in violation of rule 51-A will render the applicant liable for punishment.

under section 30 of the arms Act, 1959.

POLICE STATION: -

1. Name:

2. Age:

3. Father's Name:

4. Occupation:

5. Permanent Residential Particulars:

6. Name of police station:

7. Family background of the applicant:

8. Whether he really need a gun license for protection

For his field if so how for hid field from his residence/forests:

9. To which political party he belongs

10. Whether he was ever involved in any criminal case:

11. SHO must also indicate the number of license holder in the jurisdiction community-wise and also how many license were issued so for in his jurisdiction.

12. Whether individual so-bar and sensible type:

13. Whether that know to handle the gun:

14. In case license is caught for game the SHO must clearly indication his report if the applicant is really interested in the games or not:

15. The applicant has a safe place to keep the arms;

16. The recommendation of the SHO must, be supported by the Lamberdar/Chokidar or the other responsible person of the locality.

SHO/P/S

Recommendation of District

Superintendent of Police.