Form F-A-01 "Application Form for Fresh Arms License" - Delhi, India

Form F-A-01 or the "Application Form For Fresh Arms License" is a form issued by the Delhi Police.

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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 http://www.delhipolice.nic.in 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)

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 http://www.delhipolice.nic.in 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)

13. If any of the entry in Col. No. 9 to 12 is ‘YES’, then give details here by writing the particular column no.:

Col. No.

Detail

11(b)

Place where arms/ammunition will be kept –

14. Type of Weapon for which licence is required :

a) NPB

b) Revolver

Pistol

Rifle

Gun (SB/DB)

Others (Pl. specify) __________________

15. Need for the weapon : __________________________________________________________________________

16. Any claim for special consideration : ______________________________________________________________

_______________________________________________________________________________________________

Note :- Against col. No. 15 & 16, the applicant should clearly mention the purpose(s) for which the licence is required – such as : use, requisition,

possession, carrying, manufacture, sale, transfer, repair, convert, proof–test, import, export, transport, self protection, sport, display, destruction of wild

animals which do injury to human beings / cattle, protection of crops and cattle, target practice / shooting, temporary possession as bonafide traveler

visiting India etc.

PART – C Particulars in case of already acquired weapon(s)

17. Details of earlier weapon(s) held :

a) NPB

b) Revolver

Pistol

Rifle

Gun (SB/DB)

Others (Pl. specify) ___________________

________________________________________________________________________________________________

18. Previous Arms License No., if any : ________________________________________________________________

19. Place & route of import or transport : _______________________________________________________________

20. Whether applicant is a bonafide tourist : Yes

if yes,

(i)

Country to which the applicant belongs :

(ii)

The probable/actual date of arrival in India :

(iii)

Whether the applicant is prohibited by the laws of

his / her country from having any arm / ammunition:

Yes

Note: A bonafide tourist is permitted to bring into India arms and ammunition for sports purpose and in reasonable

quantities only, subject to the conditions specified in Sec. 10 of the Arms Act, 1959 & in Rule 32 of the Arms Rules, 1962.

PART – D For applicant requiring licence for import / export / transport

If the previous sanction of the concerned authority required under Rule 50 of the Arms Rules, 1962 has been obtained, then

the copy of document in support thereof should be attached.

DECLARATION : I hereby declare that the above particulars given in the application are true, complete and correct to the best of my knowledge

and belief. I understand that in the event of any information being found false or incorrect at any stage, I am liable to be proceeded against and

action, taken under the relevant provisions of Arms Act, 1959, the Arms Rules, 1962, and other central enactments or the law for the time being

in force.

Place :

Date :

Signature or Thumb impression of the applicant

(Left Hand T.I. if male and Right Hand T.I. if female)

WARNING : Suppression of any factual information or furnishing of any false or wrong information in the application form in violation of Rule

51- A will render the applicant liable for punishment under Section 30 of the Arms Act, 1959 and revocation of license as per Section 17 (3) of

the Arms Act, 1959.

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