8.
Existing Weapon Details
Weapon
Ammunition details*
SN Weapon Weapon Bore* PP Valid Up
Weapon Serial No* To be possessed at Purchasable during
Category* Type* to*
one time the year
I. Permissible □ Rifle
□ Gun
Restricted □ Revolver
□ Pistol
II Permissible □ Rifle
□ Gun
Restricted □ Revolver
□ Pistol
III Permissible □ Rifle
□ Gun
Restricted □ Revolver
□ Pistol
9. Retainer Details
I. Name of Retainer *
II. Parent or Spouse Name *
Paste the latest
Photo of retainer here
III. Date of Birth* …………………./…………./…………….. (Live photo of retainer
IV. Date since Employed with to be captured)
…………..……./…….…./………………… Since When Residing
organisation*
the at the Present …..……./………./.………….
V. Mobile No .of retainer* Address *
Addess…………………………………………………………………………………………………….………………
VI. Present Address of Retainer* Village/City …..………………Tehsil……..……………Nearest Police Station……………………………….........
District…………………....…...State……………..………………PINCode…………………………………………..
Addess…………………………………………………………………………………………………….………….……
VII. Permanent Address of
Retainer* Village/City……..…………Tehsil……..………………Nearest Police Station ………………………………………
District………………..…...State……………..…………………………..PINCode…………………………………..
Weapon Category* Weapon Type* Weapon Bore* Weapon Serial No*.
Permissible □ Rifle
□ Gun
Restricted □ Revolver
□ Pistol
Permissible □ Rifle
VIII. Details of the weapons
□ Gun
entrusted to the retainer *
Restricted □ Revolver
□ Pistol
Permissible □ Rifle
□ Gun
Restricted □ Revolver
□ Pistol
Last Rev: Aug 2021 Page 2 of 4