FORM "A" Arms Licence 
FORM "A"
FORM OF APPLICATION FOR AN ARM LICENCE
(SEE RULE 51)
 

I ____________________________________ son of _________________________
  (Name in full)
request that a licence in Form __________ for _______________________________ 
may be granted to me.   The necessary particulars are stated below.
 

PART A - IDENTITY OF APPLICANT
 

      1.(a)Present address: 
         (b)Permanent address: 
      2. Date of Birth, age: 
      3. Occupation and designation of office held, if any: 
      4. Signature /thumb-impression: 

 
PART B- OTHER PARTICULARS OF APPLICANT
 

      5. 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 Cr. P.C. of keeping 
      the peace or for good behaviour-if so, when and for what period : 
       (c)Prohibited under the Arms Act, 1959 or any other law from having 
      arms/ammunition : 
      6.(a)Whether the applicant applied for a licence before - if so, when, to 
      whom and with what result  : 
       (b)Whether the applicant's licence 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 licence-if so, particulars thereof : 

       7. Whether the applicant -  
       (a)Is a licencee or exemptee-if so, description of arms held : 
       (b)Has a safe place to keep the arm: 

 
PART C- PARTICULARS OF LICENCE
 

      8. Need of licence: 
      9. Description of arms/ammunition : 
      10.(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: 
      11. Other particulars required as in the relevant licence Form: 
      12. Any claims for special consideration: 

PART D- FOR APPLICANT REQUIRING LICENCE FOR IMPORT/EXPORT/TRANSPORT/EXPORT 
& RE-IMPORT.
 

      13.(a)Whether the previous sanction of the concerned authority required 
      under rule 50  if any, has been obtained, & if  so : 
       (b)The evidence in support thereof : 

 
                     I declare that the above particulars are true and correct to the best of the best of my knowledge and belief.
 

 Signature of Applicant
Date :
 

(Note :- Strike off the entries not relevant)
 

N.B.- Applicant must furnish to passport size copies of his latest photograph alongwith this application form.
  
Additional information about applicant.
 

LOCAL POLICE STATION.
 

RESIDENTIAL TELEPHONE.
 

 
BUSINESS ACTIVITIES & 
BRIEF DESCRIPTION                                       MFG/TRADING/SERVICE
 

 
BUSIESS/OFFICE/TELEPHONE No.
 

PAGER/MOBILE No.
 

INCOME TAX PAID LAST YEAR
 

P.A.N./G.I.R.NO.
 

The following documents (attested) required to be submitted alongwith the 
application 
 

(1)          Residential Proof (Retioning card/Election card)
(2)          Birth Certificate or Leaving Certificate.
(3)          Education Proof.
(4)          Income Tax Returns (Last 3 Years)
(5)          Domicile Certificate.