Photo attested
To

THE FINANCIAL COMMISSIONER J&K GOVERNMENT, HOME DEPARTMENT JAMMU/ KASHMIR

Thorugh : The District Megistrate, __________________

Sub: Issue of 12 Bore/ Gun License /315 Bore Rifle License/NP Bore Revolver/ Pistol License

Sir,

It is certified that No. __________________ ________Rank___ _________________________
Name ______________________________________ S/o ____________________________________
Unit ______________________________ date of birth ______________________________________
Of this unit is serving under my command within the jurisdiction of ____________________________ He is not involved in any disciplinary criminal/ vigilance and political activities.
1. He bears good moral character.
2. Issue of Gun/ Rifle/Pistol/ Revolver License is strongly recommended for his Self Protection/ Readjustment after retirement from the Armed Forces.
3. The Applicant is resident of __________________________________________________ _________________________________________________________________________ Post Office ______________________ Police Station ______________________________ Tehsil __________________________ District ____________________________________ State __________________________ PIN _________________

4. Recommended the Name Smt. ________________________________________________ W/o Shri __________________________________________________________________ As retainer in col. No. 6 of Arms Possession License .

Unit Seal Signature of Coy Cdt/ Commandent With official seal

Photo attested
FORM ‘ A’
SCHEDULE – III

Form of Application For an Arms License
(SEE RULE 51)

PART A – IDENTITY OF APPLICANT

1. Regt. No. Rank and Name _____________________________________________________

2. Father’s name : _____________________________________________________

3. Place of birth (nativity) _____________________________________________________

4. Date of birth in christen era (both in words and figure _____________________________________________________

5. Present address _____________________________________________________ _____________________________________________________

6. Nearest Police Station _____________________________________________________

7. Permanent address _____________________________________________________ _____________________________________________________ _____________________________________________________

8. Occupation or designation of office, held if any
(together with address)

Signature of applicant

PART B - OTHER PARTICULARS OF APPLICANT

9. 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 VIII of Code of Criminal Procedure, 1973 (2) of 1974 for keeping the place 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

10. (a) Whether the applicant applied for license before if, so when to whom and with what result.

(b) Whether the applicant’s license was ever suspended or cancelled revoked if so, when and by whom on what account.

(c) Whether any other member of the applicant’s family is in possession of any arms license if so, particular there of.

11. Whether the applicant.

(a) Is a license of exempted, if so deserination of the arms.

(b) Has a safe place to keep the arms.

(c) Is a bonafide tourist, if so:

(i) name of the country to which he/ she belongs.

(ii) Whether he is prohibited by the laws of his country from hating in his possession any arms and ammunition.

(iii) The probable date of his arrival in India.

Note : - A bonafide tourist is permitted to bring Indian subject to the conditions specified in section 20 and rule 32, Arms and Ammunition in reasonable quantity for his use for purpose only of spot and for no other purpose.

PART C- PERTICULARS 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 etc. ___________________ (c) Place route of import/ export transport: ______________________________________

16. Other particulars required as in the relevant transport: ________________________________

17. Any classes for special consideration _______________________________________________

Note :- Against column 12 the applicant should clearly mentioned the purpose(s) for which the license is required such use acquisition, possession, carrying manufacture, sale, transfer, repair, convent proof test import, reimport, export transport, self protection, sport display, distraction of wild animals which do injury to human being cattle, target practice/ shooting temporary possession, as bonafide traveler visiting India etc.

PART D FOR APPLICANT REQUIRING LICENSE FOR IMPORT EXPORT/ TRANSPORT/ REEXPORT AND RE-IMPORT

18. (a) Whether the previous sanction of the authority required under rule 50 if an has been obtained, and if, so: (b) to evident in sport there of :

DECLARATION I hereby declare that the above particulars given are true and complete and correct to the best of my knowledge and belief. I understand that in the event of my information being found false or incorrect at any stage, I am liable to be proceed against the action taken under the relevant provisions of the Arms Act 1960 and other central enactment or the law fir the time being in force.

Place: Signature of applicant

Date:

Note : Strike off the entries not relevant

Warning: Suppression of the factual information or wrong information in the application form in violation liable for punishment under section 30 of the Arms :-1959.
ANNEXURE ‘H’
DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR (On Plain Paper)

I/We affirm that the particulars given above are of …………………………………..(name of the child) son/daughter of Shri……………………….. and Smt……………………. of whom I/we am/are the Parents/Single Parent/Applicant Parent/Guardians. He/She is a Citizen of India. His/Her date of birth/place of birth is ………………….. I/We undertake the entire responsibility for his/her expenses. I/We solemnly declare that he/she has not lost, surrendered or been deprived of his/her citizenship of India and that the information given in respect of him/her in this application is true. It is also certified that I/we am/are holding/not holding valid Indian passport(s).

_______________ / _________________ / ___________________
Father (Signature) Mother (Signature) Legal Guardian (Signature)

ANNEXURE ‘H’
DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR (On Plain Paper)

We affirm that the particulars given above are of ASHLESHAA PANDEY daughter of Shri. RAJESH KUMAR PANDEY and Smt ANWITA GARG of whom we are the Parents/Applicant Parent. She is a Citizen of India. Her date of birth/place of birth is 12 Feb 2011 / Portblair, Andaman and Nicobar Island. We undertake the entire responsibility for her expenses. We solemnly declare that she has not lost, surrendered or been deprived of her citizenship of India and that the information given in respect of her in this application is true. It is also certified that we are holding/not holding valid Indian passport(s).

_______________ / _________________ / ___________________
Father (Signature) Mother (Signature) Legal Guardian (Signature)

ANNEXURE ‘H’
DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR (On Plain Paper)

We affirm that the particulars given above are of ABHIGYAAN PANDEY son of Shri. RAJESH KUMAR PANDEY and Smt ANWITA GARG of whom we are the Parents/Applicant Parent. He is a Citizen of India. His date of birth/place of birth is 12 Feb 2011 / Portblair, Andaman and Nicobar Island. We undertake the entire responsibility for his expenses. We solemnly declare that he has not lost, surrendered or been deprived of his citizenship of India and that the information given in respect of him in this application is true. It is also certified that we are holding/not holding valid Indian passport(s).

_______________ / _________________ / ___________________
Father (Signature) Mother (Signature) Legal Guardian (Signature)

ANNEXURE ‘H’
DECLARATION OF APPLICANT PARENT OR GUARDIAN IF PASSPORT IS FOR MINOR (On Plain Paper)

I/We affirm that the particulars given above are of …………………………………..(name of the child) son/daughter of Shri……………………….. and Smt……………………. of whom I/we am/are the Parents/Single Parent/Applicant Parent/Guardians. He/She is a Citizen of India. His/Her date of birth/place of birth is ………………….. I/We undertake the entire responsibility for his/her expenses. I/We solemnly declare that he/she has not lost, surrendered or been deprived of his/her citizenship of India and that the information given in respect of him/her in this application is true. It is also certified that I/we am/are holding/not holding valid Indian passport(s).

_______________ / _________________ / ___________________
Father (Signature) Mother (Signature) Legal Guardian (Signature)