FORM NO. 9

[See rule 33 (1) of the Wild Lift Protection (Manipur) Rules, 1974]

Form of application registration under section 34 

of the Wild Life (Protection) Act, 1972


To


    The Officer in charge  of  ________________ ,

    Sanctuary/National Park,
    ---------------------------

 

Sir,
 

    I, ........................................................... resident of village .............................. district ........................... live within ten kilometres of ................................... sanctuary/National Park and apply for the registration of my name and address in accordance with the provisions of section 34 of the Wild Life (Protection) Act, 1972.


2. * The particulars of the arms possessed by me are as under/I am exempted
from the provisions of the Arms Act, 1959 (Central Act 54 of 1959)
 

Sl. No. of licence and date of issue Brief description of each weapon with details, e.g. distributing marks, register numbers, etc. Quantity and description of each kind of ammunition entitled to possess Whether licence is for sport/ self protection or display Date on which licence expires Remarks (name and address of retainers, if any, specified in the licence)
1 2 3 4 5 6


 
         


3.
 I enclose treasury receipt/Bank Challan No. ........................... for Rs. ...........................  being the registration fee.


4.
 The arms licence is sent herewith for verification, endorsement and return.

 

Full address of the

applicant, place and date :

 

Yours faithfully,


Signature of the applicant. 

*(Strike out whichever is not applicable).