Name: - ____________________
S/O, D/O, W/O: - ____________________
Address: - ____________________
Pin Code: ____________________Telephone No.____________________
The General Manager,
Small Arms Factory,
KANPUR PIN: 208 009
Sub: Supply of 0.32" Revolver
Ref: 1. Registration No.
2. Your letter No.
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.
(Signature of allottee)