FORM FOR RENEWAL OF ARMS LICENCE 1. Name of Licencee : 2. Father's Name : 3. Present Residential Address : 4. Nearest Police Station 5. Telephone: Office Residence: Mobile: Fax: E-mail:_______________________________________________________ 6. Licence No. : Date of Birth : 7. Occupation : 8. Purpose : Renewal Extention of Period 9. Date of Issue : Date of expiry : 10. Area Validity: 11. Weapon Information : Cartridges . Type Bore Weapon No. One time Total in a Year i) ii) iii) 12. In case of any delay, reason thereof : 13. In case weapon not purchased, reason thereof 14. In case the licence deposited with Arms Dealer or at Police Station, reason thereof : 15. Whether presently/previously involved in any criminal case, (whether convicted/acquitted or pending trial). If yes details of the case : ________________________________________________________________ 16. Documents attached as proof of residence : Self attested photocopies of two residential proofs :- (please tick the corresponding box for the attached/submitted document) i) Electricity Bill v) Passport ix) Tax Return ii) Water Bill vi) Election Voter Id-card x) Other iii) Telephone Bill vii) Ration Card iv) Driving licence viii) Property/House Tax It is certified that the above particulars are correct and incase of any wrong information, my licence is liable to be suspended/cancelled. Licence is enclosed I hereby undertake that I will abide by the provisions of the Wildlife (Protection) Act, 1972 and the protection of Cruelty of Animal Act, 1960 and further undertake to protect and improve the environment and safeguard forests and Wildlife, and to have due compassion for living creatures, I understand that any violation in this regard shall make me liable for action under the provisions of Arms Act, 1959 and Arms Rules, 1962. Dated : Signature of the Applicant DCP/Licensing , Ist Floor, P. S. Defence Colony, New Delhi - 110049 (E-MAIL:
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) DELHI POLICE Citizens First Form No. F-A-02 FOR OFFICE USE ONLY Counter No. 1 : Document Verification __________________________________________________________________________________ __________________________________________________________________________________ Counter No. 2 : Weapon Inspection Weapon type , bore & Number ______________________________________ __________________________________________________________________________________ Counter No. 3 : Criminal Antecedents checking __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ (If area validity jurisdiction is beyond Delhi in Col. No.10, the same will be checked from records.) __________________________________________________________________________________ __________________________________________________________________________________ Counter No. 4: (a): Cashier Receipt No._____________ Dt._____________ Rs._____________ (b) : Computer Renewal Renewed upto_______________________ Revalidated upto_______________________ P.P. Extended Upto___________________ Other details worth mentioning _______________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ (c) : Endorsement on licence _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________
