FORM VI
[See sub-rule (2) of rule 8]
Application for permission to transport specified animal etc.
To
The _________________________
____________________________
____________________________
Sir,
I, ________________ residing at ___________, Taluk ______________, District ___________________, holding Licence No ________ , granted under section 44(4) of the Wild Life (Protection) Act, 1972 (53 of 1972), request that 1 may be granted permission to transport the following:-
(1) Species of specified animal or from which the animal article/cured trophy/uncured trophy is derived __________________________________________________
(2) Number ___________________________________________________
(3) Description (including sex if possible) ___________________________
(4) Identification mark, if any _____________________________________
(5) Source of procurement and the Licence/Permission No _______________
(6) Certificate of Ownership, if any _________________________________
(7) Mode of transport __________________________________________
(8) Route ____________________________________________________
(9) Period required for transport ___________________________________
(10) Destination _________________________________________________
I hereby declare that to the best of my knowledge and belief the information furnished herein is true and complete.
Signature of the applicant
Place:
Date:
Strike out whichever is not applicable.