Name: -           ____________________

      S/O, D/O, W/O: -  ____________________  

      Address: -        ____________________         




  Pin Code: ____________________Telephone No.____________________



            The General Manager,

            Small Arms Factory,

            Kalpi Road,

            KANPUR PIN: 208 009


                  Sub: Supply of 0.32" Revolver

                  Ref: 1. Registration No.

                       2. Your letter No.

Dear Sir,

As required following demand draft(s) and documents are forwarded herewith:

(a) 1. Demand Draft No._________ Dated_________ for Rs.___________

    2. Demand Draft No._________ Dated_________ for Rs.___________

    Name & branch of the Bank:


(b) Latest photocopy of arms license No.

    Issued by the *District Magistrate/Collector/Commissioner of Police, which is valid through     out *India/State of (_________________) /District (_________________). The license is renewed up to____________________ with purchase period up to_________________ under Sec. 52(2) of Arms Rules 1962.

    (*Please strike out which is not applicable)

 I Will collect the weapon on the date, which will be intimated by the factory if the bank draft and documents are found in order, Kindly intimate the collection date as early as possible.

I have read all the instructions contained in Annexure-I and completing the formalities accordingly.


 Thanking you,

                                                Yours faithfully,


                                                (Signature of allottee)