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Format of Affidavit for Transfer Arm License

Format of Affidavit for Transfer Arm License

Format of Affidavit for Transfer Arm License

I, _______ Son/Daughter/Wife of _______  resident at _______ since_______ do solemnly affirm and declare as follows:

  • That my date of birth is _______ (_______) (Copy of proof attached) and Place of birth is _______.
  • That my educational qualification is _______.
  • That I am married/unmarried to year _______  and that I have _______ children namely  _______ age about  _______ year.
  • That I am permanent resident of _______.
  • That I am doing job / running a private business (copy of registration certificate of sales/service  tax deposit slip of _______ Trade license shich are attached) whose detail is an under:-
  • Name & Address of business: –  (Proprietorship, Private Limited or Limited Company)
  • Number of employees
  • Skilled/technical: –
  • Literate: –
  • Semi literate: –
  • No  of shops/branches with address: –
  • That I am working/serving as  _______ in the department of _______. I have attached the NOC issued by my department regarding obtaining an arm license. (In case of Army personal attach photocopy of I/card and serving cum residential certificate issued by the department) or (in case of security guard submit an undertaking from his employer (FA-56)).
  • That my annual income  US $/INR  _______/- (attach proof of salary slip/Income Tax return) & daily cash transaction is _______ . (attach documentary proof).
  • That I am not a short tampered man in family, neighbours.
  • That I am medically fit to handle to weapon (A medical certificate issued by a doctor (Required Medical Practitioner) is attached (FA-17/02)
  • That I have proper skill to handle the fire arms (Proof attached).
  • That my nominee shall be Shri/Smt _______ who is my  _______ (relationship) and residing at _______.
  • That I am/was not involved in any criminal case. That I do not have any department enquiry, vigilance proceedings against me or have faced a Court of enquiry, Board of enquiry under the Army, Navy & Air force Acts.
  • That I have never been externed from my place of stay by any judicial authority and neither am I a proclaimed offender of any State Govt. or of _______ Police, and to the best of my knowledge there is no Red Corned Notice or any other look out notice pending against me.
  • That I have also no proceedings. Cases institutes against me in the CBI, NCB, Enforcement Directorate, Directorate of Revenue Intelligence, Income Tax and Forest Department pending against me.
  • That I have also not been arrested deported of involved in any illegal act in any other country where I have visited or resided.
  • That I have no arm license issued from any state in India. I have applied for an arm license previously  No times.
  • That I will make requisite arrangements for keeping the fire arms in safe custody and to avoid access of children and other unauthorized persons to the fire arms.
  • That my father has given a consent to transfer his weapon in my name on inheritance basis (FA-58) (Copy attached).
  • That my father who was holding an arm license No  _______ for _______ expired on _______ and I intend to get the transfer of weapon in my name. the other legal heirs have given NOCs that they have no objection if the weapon is transferred in my name which is/are attached (FA-33).
  • That I require an arm license because (Give full details) I am Working as a _______ in this Address _______ the particulars furnished by me above are true & correct to the belief of my knowledge and I have not concealed or mispresented  any facts.



Witness (Name, Address & signature)                Signature and official seal of Notary Public

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