AFFIDAVIT/UNDERTAKING (ON RS. 10/-STAMP PAPER DULY ATTESTED BY NOTARY) I S/o ........R/oShooter ID No.

do hereby solemnly affirm and declare is under:That I am Renowned Shot as per NRAI Certificate No dated.. ..and I am importing following items/qty. as per Invoice No..dated..Amount 1. 2 The Ammunition so imported will be used for Target practice only and National Rifle Association of India can always make physical check the stock of live and empties. I, hereby undertake that the empties of the ammunition imported under this import shall be deposited with National Rifle Association of India, immediately after its consumption. That the weapon as stated above so imported will not be disposed off, sold or transferred to any persons /association without prior permission from NRAI. The following arms are held in my possession at present:1 2 3 4 The Details of earlier Imports are as under:-IMPORT LICENCE NO. DATE ITEM NAME QTY. DATE OF IMPORT

Justification of Import: -

I undertake to submit the copy of Bill of Entry duly stamped by the Customs within One Week form date of clearance.

DEPONENT

Verification:
I,..the above named deponent do hereby solemnly affirm and declare that the above statement of mine is true and correct to the best of my knowledge and belief and nothing has been concealed therein. Date:Place:DEPONENT