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 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
Keywords: Affidavit for New Arm License, Armed Licence Issuance Affidavit, Arm Licence Application Format, New Arm License Certificate