(Authority letter is to be submitted by representative at the time of collection)
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: Authority for taking delivery of 0.32" Revolver
Ref: 1. Registration No.
2. SAF.Kanpur letter No.
Shri_________________________________________S/O_________________________________, and who
Is R/O_____________________________________________________ Is hereby authorized to take
Delivery of the Revolver allotted vide Small Arms Factory, Kanpur, letter
No. ______________________dated _____________against my Arms License No. _____________________from Small Arms Factory, Kanpur and sign all documents on my behalf.
I am fully aware that this authority letter is issued entirely at my risk and responsibility and the General Manger, Small Arms Factory, Kanpur will bear no liability, whatsoever, after delivery to the revolver to my accredited representative.
Specimen signatures of the accredited representative are attested below: -
(Signature of allot tee)