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Application for the Extension of Purchase Period.

To,

The District Magistrate,


District :

Sir,
1. Following are the particulars of my Arms Licence:
(a) Name of Licensee:
(b) Father's Name:
(c) Present Address:
Tehsil/ District:
(d) Permanent Address:
Tehsil/ District:
(e) Police Station:
(f) Arms Licence no.:
(g) Issued by:
(h) Date of expiry:
(i) Purchase Period upto:
(j) Area in which valid:

2. I could not purchase the necessary Arms on my Licence in time. It is requested to kindly extend the Purchase Period of
my licence for 3/6 more months and oblige.

Thanking you,
Yours Sincerely,

Signature
Name:
Encl: 1. Arms Licence in original

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