ANNEXURE - K FORM 'A' FORM OF APPLICATION FOR AN ARM LICENSE (See Rule 51) PART A - IDENTITY OF APPLICANT 1. Name :- 2. Father's Husband name:- 3. Place of Birth (Native): 4. Date of birth in Christian era both in word and figures :- 5. Present address :-* (a) Nearest Police Station 6. Permanent Address:-* (a) Nearest Police Station 7. Occupation and designation of office held if any (together with address):- 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 THE APPLICANT 8. Whether the applicant has been a) convicted if so the offence (s) the sentence and date of sentence:- b) ordered to execute a bond under Chapter VII of Code of Criminal Procedure 1973 (2 of 1974) for good keeping the peace or for good behavior if so when and for what period:- c)Prohibited under Arms Act, 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 account :- b) Whether the applicant's license was ever 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 license, if so, particulars thereof: 11. Whether the applicant a) Is a licensee or exemptee, if so, description of arms held:- b) Has a safe place to keep the arms:- c) Is a bonafide tourist, if so:- d). Name of the country to which he belongs: i) Whether he is prohibited by the laws of his country from having in his possession any arms and ammunition: ii) The probable date of his arrival in India:- Note :-A Bonafide tourist permitted to bring into India, subject to the conditions specified in section 10 and in rule 32, arms and ammunition in reasonable quantities for his use for purpose only of sport and for no other purpose. PART C - PARTICULARS OF LICENSE 12. Need of 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 at:- c) Place/route of import/export transport:- 16. Other particulars required as in the relevant license Forms:- 17. Any claim for special consideration:- Note:- Against column 12 applicant should clearly mention the purpose (s) for which the license is required such as; use acquisition , possession, carrying, manufacture, sale transfer, repair, convert proff-test import, re-import, export, reexport, transport, self protection, sport display, destruction of wild animals which do injury to human beings/cattle, protection of crops and cattle, target practice shootings, temporary possession as bonafide traveler visiting India etc. PART - D FOR APPLICANT REQUIRING 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 support there of:- DECLARATION I hereby declare that the above particulars given in the application 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 state I am liable to be proceeded against and action taken under the relevant provision of the Arms Act 1959 of the Arms Rules 1962, and other central enactments or the law for the time being in force. Place: Date:-Signature/ Thumb impression of applicant (Note:- Strike off the entries not relevant) Warning:- Suppression of any factual information or furnishing of any false or wrong in the application form in violation of Rule 51-A will render the application for punishment under section 30 of the Arms Act, 1959.
