THE ANTIQUITIES AND ART TREASURES RULES, 1973 FORM IX TRANSFER OF OWNERSHIP (SEE RULE 13) SECTION - A (To be completed by Seller/Giver) 1. Name of Owner : 2. Address of Owner : 3. Licence No. : 4. Serial No. in Register : 5. Serial No. in Album : 6. Name/Subject of object : 7. Nature (e.g sculpture, painting, manuscript, coin etc) : 8. Whether it is registered?, if so, : (i) Name and station of registering officer : (ii) Registration No. : 9. Material : 10. Size : 11. Price offered : Place: Date : Signature of Owner Name ( in Block letters). SECTION - B (To be completed by the New Owner) 1. Name : 2. Complete address (i) Present : (ii) Permanent : 3. Mode Of acquisition (e.g. purchase, gift, inheritance, donation etc.) : 4. Present Location of object : 5. Safeguards for preservation and security of the object : 6. Nationality : 7. Passport No. : 8. Duration of stay in India : 9. Purpose of visit : I hereby declare that the information given by me is correct and complete to the best of my knowledge and belief. I undertake to observe the provisions of the Antiquities and Art Treasures Act, 1972 and the rules made thereunder as in force from time to time. I am aware that the object now acquired by me is an antiquity, that it cannot be taken or sent out of the territorial limits of India except on the authority of a permit issued by Director General, Archaeological Survey of India and that any attempt to take or send out of India without such a valid permit is punishable under the law. Station : Signature Date : Name (in capital letters) as signed.