SCHEDULE - III Form 'A' Form of application for an Arm Licence (See Rule 51) I,..............S/o,.......... request that a licence in form....................... for..............may be granted to me. The necessary particulars are stated below :- Part A - Identity of application 1. (a) Present address (b) Permanent address 2. Date of birth : age 3. Occupation and designation of office held any 4. Signature/ thumb impression Part B - Other particular of applicant 5. Whether the applicant has been - (a) Convicted - if so, (the officers),the sentence and ate of sentence : (b) Ordered to execute a bond under chapter VIII of Cr. P. C. for keeping the peace or for good behavior - if so when and for what period : (c) Prohibited under the Arms Act, 1959 or any other law from having the arms/ ammunition. 6. (a) Whether the applicant applied for a licence before - if so when to whom & with what result. (b) Whether the applicant's licence was over suspended or cancelled/ revoked if so, when and by whom and on what account. (c) Whether any other member of the applicant's family is in possession of an arms licenses - if so particulars thereof. 7. Whether the applicant :- (a) Is a licensee or esteem if so, description of arms hold. (b) Has a safe place for keep the arm. Part C - Particulars of Licence 8. Need for Licence. 9. Description of arms / ammunition 10. (a) Area within which applicant wishes to carry armsarms. (b) Place where arms/ ammunition will be kept/ manufactured, etc. (c) Place route or import/ export/transport. 11. Any other particulars required in the relevant licence form. 12. Any claim for special consideration Part D - For applicant requiring Licence for import/ export/transport/ and re-import 13. (a) Whether the pervious sanction of the concerned authority under rule 50, if any has been obtained and if so. (b) The evidence in support thereof. I declare that above particulars are true and correct to the best of my knowledge and belief. Dated...... Signature of applicant
