Form No. F-A-01 - Application Form For Fresh Arms License (India) printable pdf download

SCHEDULE – III

Form No. F-A-01

Application form for Fresh Arms License

Write in English and CAPITALS. Use only Blue/Black Ball Point Pen. One character in one Box.

Paste passport

Do not write outside the boxes. SAMPLE How to fill the Form :

H A N

Tick inside the appropriate Box only. Male

Female

size photograph

here

DELHI POLICE

Date of Application

CITIZENS FIRST

Licence No.

(ISO 9001:2000 Certified)

–

PART

A Identity of applicant

Mr.

Ms.

1. Name

2. Father’s/Husband’s

/ Mother’s Name :

3. (a) Place of Birth :

(b). Nationality :

4. Date of Birth in Christian era : In Figures (dd mm yyyy) :

(with documentary proof)

In words (capital letters): …………………………………………………………………………………………………..

5. Present Address :

Residing since :

Nearest Police Station of Present address:

Telephone: Office:

Residence:

Mobile:

Fax:

E-mail:_____________________________________________________

6. Permanent Address :

Nearest Police Station of permanent address :

7. Occupation (Professional/Business/Govt. service/Private service/Doctor etc.):

8. Office address:

PART

B Other information of applicant

–

Whether the applicant has been :

b) Whether the applicant’s Licence was ever :

a) Convicted :

Yes

Suspended

Yes

If yes give the offence(s), the detail and the date of sentence at Col. 13

Cancelled

Yes

b) Ordered to execute a bond under Chapter VIII of CrPC (2 of 1974) for

Revoked

Yes

keeping the peace or for good behaviour :

Yes

If yes, when and by whom and on what account, give details at col. 13

If yes, when and for which period, give details at Col. 13

c) Whether any other member of the applicant’s family is in possession of

c) Prohibited under the Arms Act 1959, or any other law

an arms license: Yes

from possessing arms and ammunition : Yes

11. Whether the applicant a) is an exemptee : Yes

If yes, give details at Col. 13

If yes, give description and serial no (s) of the arms held, at col. 13

10. a) Whether the applicant applied for a licence

b) has a safe place to keep the arms : Yes

earlier anywhere in India : Yes

12. Whether arrested or involved in any criminal case : Yes

If yes, when, to whom and with what result. Give details at Col. 13

If yes, give details at Col. 13

Attention

– please enclose : (1) Four passport size photographs, One to be pasted on the form and other three to be attested on the reverse by

a Gazetted officer;

(2) Attested photocopy of the address proof

i) Ration card / voter’s I-card / passport / Electricity Bill / Water Bill / Telephone Bill / Driving Licence / Property (House) Tax / Tax Return

& PAN Card; or

ii) Posting certificate indicating the residential address of the applicant / recommendation from the commanding / supervisory Gazetted

Officer in case of armed forces personnel, Police and para-military forces only; and

(3) Proof of date of Birth (Please attach any one mentioned below):

Copy of Matriculation Certificate indicating the Date of birth duly attested by a Gazetted officer; or

Copy of the Birth certificate issued by a Municipality Authority or district office of the Registrar of Births & Deaths duly

attested by a Gazetted officer; or

Affidavit sworn before a Magistrate/Notary stating date and place of birth by illiterate or semi-illiterate applicants (specimen

language of the affidavit may be taken from the Delhi Police web site or from the Reception

counter of the Licensing Branch, at Police Station Defence Colony, New Delhi; or

Any other proof (Passport / Driving License / PAN Card / Service I-Card for Government employees issued by the Government

Department having Date of Birth / Army Discharge Certificate etc. please specify) ___________________________

DCP/Licensing, 1

Floor, P.S. Defence Colony, New Delhi-110049 (E-MAIL : dcp-license@delpol.nic.in)

Form No. F-A-01 - Application Form For Fresh Arms License (India)

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