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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/.

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