Form No. F-A-23 - Affidavit For Extension Of Area Validity To Other States/all India

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Form No. F-A-23
AFFIDAVIT
Affix self
attested
photo
FOR EXTENSION OF AREA VALIDITY TO OTHER STATES/ALL INDIA.
(Speciman of affidavit to be submitted for extension of area validity beyond Delhi (other States/All
India) by applicants on non-judicial stamp paper of worth Rs. 10/- duly attested by a Notary Public)
I, ________________________ Son/Daughter/Wife of _______________________ presently
residing at __________________________________________________
do solemnly affirm and declare as follows :-
1. That my date of birth is ______________(in date format as well as in words) and place of birth is
________________(attach proof).
2. That I am already an arms license holder (Licence No. ________________) valid for Delhi only,
and that I have a weapon __________________, which has also been endorsed in my licence.
3. That I am a Govt. Servant and serving as group A/B/C officer of Central/State Govt.
_____________________________________________________________(name & address of
the department) as _________________________________(designation).
(i) Nature of the service i.e. Whether All India etc.
or
4. That I am a professional (Lawyer, Doctor/etc.)
or
5. That I am Private Co. Employee.
(i) The address of the branches in India /various states with documentary proof.
(ii) A certificate of MD/Owner/GM of the company certifying the information given in the
application form.
or
6. That I am a Businessman. (Attach the documentary proof)
(i) Details of the branches other than Delhi and their address.
(ii) Attested photocopy of proof of financial transaction in the form of Bank Draft or
Cheque/Receipts etc.
7. That I am a Farmer (Attach the documentary proof)
(i)
Attested copy of Land Revenue record/Registry.
(ii) Attested copy of Khatoni/Khasra.
8. I
require
an
arms
license
with
All
India
validity/validity
for
specific
states
___________,___________,___________,____________________.states
because
_____________________________________________________________________
9. I frequently visit my home state/home town ____________________ times in a year for
_________________________________________________________________.
DEPONDENT
ATTESTED
Signature and official seal of notary public

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