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AFFIDAVIT
(Specimen of a affidavit to be subitted by applicants on non –judicial stamp paper of worth Rs. 10-duly attested by a
Notary Public)
I,_____________________Sun/Daughter/Wife
of
____________________________
Presently
Residing
at__________________________________________Since_______________do solemnly affirm and declare as follows:
1.
I ams holding arms license No._________________________with weapon(s)
(i)
______________________
(ii)
______________________
2.
That I am/he was working /serving as _____________________in department of ______________
3.
That I am or the said weapon was not involved in any criminal proceedings . That I do not have any
department enquiry, vigilance proceedings against me or have faced a court of enquiry, Bord of enquiry
under the Army, Navy &Air force Acts regarding this weapon or my capability to hold the license.
4.
That I have also no proceedings/cases instituted against me in the CBI,NCB Enforcement Directorate,
Directorate of Revenue Intelligence, and Forest Department pending against me .
5.
That I have also not been arrested deported or involved in ay illegal act in any other country where I have
visited or resided.
6.
There is no show Cause Notice issued by your office pending against me.
7.
That I will make requisite arrangements for keeping the fir arms in safe custody and to avoid access of
children and other unauthorized person to the fire arms .
8.
That I was granted A/Lic No. ________________________________________for /on grounds
of_________________________________
9.
That
My
late
Father
was
holder
of
A/lic
No.
________________________________for
NPB_________________________Who expired on _________________and I have inherited his
NPB_____________________________
10.
I
had
applied
for
conversion
of
Arms
License
erarlier
from
NPB_______________in
to
NPB________________which was granted /rejected.
11.
that
I require conversion of _____________________________because (Give Full Justification with
supporting
documents)_________________________________________________________
_______________________________________________________________________________________
This affidavit is prepared and submitted to the best of my knowledge. I shall be liable for legal action in case
of furnishing wrong information
DEPONENT
ATTESTED
Signature and official seal of notary public