S 3 Medical Cerficate
S 3 Medical Cerficate
S 3 Medical Cerficate
The person named above was also imparted reasonable working knowledge of important provisions of the Arms Act,
1959 and Arms Rules, 2016 relevant to him and made to understand responsibilities of the arms owner or user,
particularly in relation to children.
To
The Licensing Authority,
_______________________
Undertaking
1. I have applied for grant of a new arms licence/renewal of arms licence (bearing number _____________ and my
UIN is __________)
2. I undertake to practice safe storage of the firearm (in knocked down condition) when I am not carrying the
firearm(s) with me.
3. I undertake to educate the children about the dangers of interacting with arms and ammunition.
4. I have the capacity to store the firearm safely and securely in a safe or steel almirah in order to minimize the risk
that it could be stolen or accessed by someone else.
It is hereby solely affirmed that the declaration made above is true to the best of my knowledge and belief and if at any
subsequent date, if any of the said declarations is found false or incorrect, I shall be liable for the same including
cancellation or revocation of my licence and subject to penal provisions under the Arms Act, 1959.
On the basis of examination, it is certified that the person examined as mentioned in column 1 above
1. is in good physical health and is free from any physical deformity;
2. has been found to be of stable mental condition and is not inclined to violence;
3. has been found not dependent on any substance which has an intoxicating or narcotic effect.
SEAL