FORM 9





[SEE RULE 154 (8)] APPLICATION OR SHOT-FIRER'S PERMIT



I hereby apply for a Short-firer's Permit under Explosives Rules-

Replies to be given in this Column

1. Name of applicant in full

2. Age of applicant

3. Postal Address Pin Code No.

Telephone No.

4. Qualification and experience of applicant

I certify that the above particulars are true an correct

.....................................

(Signature of applicant)……….

Date of application………….

NOTE-Please encloses certified copies of certificates showing date of birth, educational qualifications and experience.