NATIONAL RIFLE ASSOCIATION OF INDIA.
SHOOTER'S INFORMATION CARD
(To be filled in CAPITAL LETTERS or typed)
LATEST PHOTO
OF APPLICANT
STATE
FIRST NAME
MIDDLE NAME
FAMILY NAME.
MAIDEN NAME.
SEX MALE FEMALE
FATHER'S NAME.
HUSBAND'S NAME.
DATE OF BIRTH DATE MONTH YEAR
PLACE OF BIRTH
CORRESPONDANCE
ADDRESS
EDUCATIONAL,
QUALIFICATION
FIRST SHOOTING NAME
COMPETITION, YEAR
FIRST NATIONAL GVMNSC NSCC
LEVEL
COMPETITION YEAR YEAR
under take and certify that the above information is correet and nothing has been concealed.
Signature of the shooter
Certified the above information submitted by the shooters is correct and confirmed.
Date Signature of President/Sccretary
Of State Rifle Association/Unit
Rubber stamp of SRA/UNIT
Shooters below the aye of 21 years must attach latest DATE OF BIRTH certificate attested by a Gazetted
Officer.
FOR OFFICE USE
IDNO. R.NO, DATED. Rs. 50/.