OLICEOLICE APPLICATION FORM FOR REGISTRATION OF OUTSIDE LICENCEES (I.S.O. 9001:2000 CERTIFIED) 1. Licence No.: Valid Upto: 2. Name of the Licencee: 3. Father's/Husband Name: 4. Present Address (with telephone No.) : 5. Permanent Address (with Police Station & Telephone No.): 6. Address at the time of issue of the licence: 7. Since when residing in Delhi : days. 8. Date of Birth: 9. Occupation : 10. Sex : Male Female 11. Sanctioned by: 12. Date of Issue: 13. Area Validity: 14. Last renewed By: 15. Retainer's name (if any) : 16. Due date of renewal : 17. Reasons in case renewal is not applied in time : 18. Weapon Information : Cartridges . Type Bore Weapon No. One time Total in a Year i) ii) iii) 19. Restriction on sale, if any : 20. Whether the Applicant has been : a) Convicted, arrested or involved :Yes No If yes, give the offence(s), the sentence and the date of sentence at Col. 21. d)Whether the applicant applied for a licence earlier in Delhi If yes, when, to whom and with what result. Give details at Col. 21 b) Ordered to execute a bond under Chapter VIII of Cr.P.C. for keeping the peace or for good behaviour : . Yes No If yes, when, and for what period, give details at Col. 21 c) Prohibited under the Arms Act 1959, for any other law from possessing arms and ammunition : Yes No e) Whether the applicant's Licence was ever : Suspended Yes No Cancelled Yes No Revoked Yes No If yes, when and by whom and on what account, give details at col. 21 If yes, give details at Col. 21 f) Whether the applicant is in possession of any other arms licnece: Yes No If yes, give details at col. 21 Suppression of any factual information or furnishing of any wrong information in the application form is violation of Rule 51-A and will render the applicant liable for punishment under section 30 of the Arms Act, 1959. Note : Please attach proof of residence in U.T. of Delhi i.e. attested copies of Ration Cart/Voter Identity Card/Passport alongwith 3 passport size photographs duly attested by a GO's on the back side. Also bring the weapon(s) alongwith for inspection. Defence Personnel will attach the posting certificate too. Photocopy of Arms Licence. DM permission if area validity is state level please. DCP/Licensing , Ist Floor, P. S. Defence Colony, New Delhi - 110049 E-MAIL:
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21. (If any of the condition is 'YES' in column No. 20 then give details here by writing particular column no.) Column No. Detail Date : (SIGNATURE OF THE APPLICANT) FOR OFFICE USE ONLY : The weapon(s) mentioned at Srl. No. 18 has/have been checked. (SIGNATURE OF THE CHECKING OFFICE) ORDER PASSED BY DCP/LICENSING DY. COMMISSIONER OF POLICE LICENSING : DELHI. 1. New Licence No. 2. Fees 2. Receipt No. 3. Renewed upto Licence is submitted for signatures. (SIGNATURE OF THE DEALING ASSISTANT) for DCP/LICENSING, DELHI
