RM1.00 AKTA SENJATA 1960-seksven 4 (1) (Polis 128-Pin' 4/e3)

ARMSACrts60-section4(1) Nq 303588*PERMINTAAN MEMBELI/MENUKAR NAMA/MEMBAWA MASUK/MEMBAWA

KELUAR/MENGGUNAKAN SENJATA DAN PELURU*APPLICATION TO PURCHASE/TRANSFER/IMPORT/EXPORT/CARRY AND USE

ARMS AND AMMUNITION

BAHAGIAN A (KETERANGAN DIRI)PART A (PERSONAL PARTICULARS)

l. Nama PenuhFull Name

Name in Chinese Character (For Chinese)

Sex N.R.I,C. NO

6. Warna Kad Pengena1an...................... ... 7. Pekerjaan .

Colour of the N.R.I.C. Occupation

Address: Office:

ResiclencelHouse:

What experience have you in handling arm (s) of the type (s) applied for?

Have your application been refused before? (Give details)

BAHAGIAN B (KETERANGAN SENJATA)PART B (PARTICULARS OF ARM (S))

Type Calibre and length of barrel

Maker's nome and No-

4. *Tujuan:

Purpose:

(a) Untuk Pertanian (Untuk mencegah,musuh-musuh tanam-tanaman)-Ag.riculture ( Pest Control) -

Nombor Geran Tanah..Land title No.

Land registered in the name of

, Acreage

Type of cultivation

Jika tanah bukan atas nama sipeniohon sebutkan pcrsaudaraan dengan tuan tanah (bapa, ibu, isteri dll.)..................If the land is not in the name of applicant state the relationship

(b) Untuk Sukan-Sporting -

What type of sport (e.9. target practice, etc.)

Are you a member of any gun club? (Give details)

1c7 Untuk Memburu-Hunting-

What type-e.g. big game and/or deer or birds

Quote details of game licence, if any

* Potong mana yang tiada digunakan.* Delete where not applicable.

Age