You are on page 1of 1

mahapolice.gov.

in/Format AA/renewal
kk-e-eq- ds 1375 15]000&11&2005

fosk"k c`-eqa-iks-&446 e-

'kL= vuqKIrh uwruhdj.kklkBh uequk vtZ


APLLICATION FORM FOR RENEWAL OF ARMS LICENSE
1-

'kL= vuqKIrh ekad o uLrh ekad

License & File No.


2- 'kL= vuqKIrh /kkjdkaps iw.kZ ukao fygwu vkMukao

v/kksjsf[kr djkosFull name of License holder.


(Please underscore the surname)
3-

irk
Address

4- 'kL=kapk iw.kZ rikhy ekad] uGhpk O;kl] 'kL=

cufo.kk;k mRikndkaps ukao


Details about weapon viz make, bore &
manufactures number.
5- vtZnkjkaph tUerkjh[k
Applicants Date of Birth.
6- ;O;olk; o ekfld izkIrh
Profession & monthly income.
7- jOkj funsZfkr izR;sd 'kL= toG ckGx.;kph xjt

vl.;kps Li"Vhdj.k
Justification for renewal of license.
8- oU; i{kh laj{k.k dk;nk] 1951 uqlkj [ksGkph

'kL=s uksan.kh dsyh vkgsr fdaok dls

Whether the weapon is registered under


Wild life Act 1951.
9- 'kL= vuqKIrh eqnr lai.;kph rkjh[k
Date on which the validity of License is due
to expire/expired.
10- 'kL= vuqKIrh fdrh o"kkZlkBh uqruhdj.k d:u

ekfxryk rks dkyko/kh


Period for which the Renewal is sought.
11- kL= vuqKIrh eqnr lai.;kiwohZ lknj dsyk ulsy

foyackps Li"Vhdj.k djkos

Justification for the delay if the Renewal


Application is submitted after the expiry of
the validity of period of the license.

lqpuk % d`Ik;k vkiys 'kL= fujh{k.kklkBh ;k dk;kZy;kr vk.kkosNote : Please bring the weapon for inspection along with this application form.

fnukad %
Date

LFkG %
Place

'kL++= vuqKIrh /kkjdkph lgh


(Signature of the licensee.)

You might also like