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Eral Manager Gun & Shell Factory, Cossipore, KOLKATA 700 002. REGISTRATION No. : DATE OF RECEIPT : 1. FULL NAME 2. FATHER s / HUSBAND s NAME 3. TELEPHONE No. & STD CODE 4. FULL ADDRESS (for communication) Pin Code : Pin Code : 5. PERMANENT ADDRESS 6 a. b. c. d. ARM LICENSE No. Valid Area Valid Date Licensing Authority (Enclose two attested copies) 7. Postal Address of Licensing Authority with Pin Code & Tel No. (Pin Code must be mentioned) Pin Code: 8.a. Bank Draft No. & Dat.

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