1. Name: 2. Father Husband's name: 3. Place of birth / nativity: 4. Permanent address (a) Nearest police station PART- B OTHER PARTICULARS OF APPLICANT 5. Whether the applicant has been a.Convicted ( if so ,the offence's ) the sentence and date of sentencebOrdered to execute a bond under Chapter VIII of code of criminal procedure,1973 (2 of 1974) for keeping the peace or for good behavior, if so when and for what period. cProhibited under the arms act 1959 or any other law from having the arms / ammunition . Give the details.(a) Whether the applicants applied for a license before it so, when to whom and with that result. (b) Whether the applicant's license was over suspended or cancelled revoked if so when and by whom and what account. (c) Whether any other member of the applicant's family is in possession of arms license, if so particulars thereof. Yes NO6. Cancelled Suspended o(See Rule 51) FORM OF APPLICATION FOR AN ARMS LICENSE PART -A IDENTITY OF APPLICANT Home DepartmentGovernment of OrissaPublished on National Portal of India (india.gov.in) PART-C PARTICULAR OF LICENSE 1.Head for license: 2The forms in which the license is required: 3Description of Arms ammunition: 4(a) Area within which applicant wished to carry arms (b) Place where arms/ ammunition will be kept/ manufacture etc. 5Other particulars required as in the relevant license form 6Any claims for special consideration Whether he is prohibited by the laws of his country from having in his possession any arm ammunition: 7. Whether the applicant:- aIs a licensee or exemptee, if so description of the Arms held; bHas a safe place to keep the arms; cIs a bonafide tourist, if so; give the detaili.Name of country to which belongs: iiiii.The probable date of his arrival in India: Note: A bonafide tourist is 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 sports and for no other purpose. Yes No Published on National Portal of India (india.gov.in) PART- D FOR APPLICANT (a) Whether the provisions sanctioned of the concerned authority required and under rule 50, if any has been obtained, 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 undertake and understand that in the event of any information to be proceeded against and action taken under the relevant provisions of the arms act, 1950, the arms rules 1962 and other general enactment the law for the time being in force. SignatureDate of the applicant 7. Published on National Portal of India (india.gov.in) No Yes
