مجموعة ٣٢/٧ "الخليج الفارسي: توريد أسلحة وذخيرة إلى شيخ قطر" [و‎‎١‎٢] (١٦٧/٢٣)

r
APPLICATION FOR EXPORT LICENCE.
Attention is drawn to the Instructions appearing on the back of this form. Delay may be caused if these instructions
are followed, if any of the questions below are not answered, or if the declaration is not signed. (See Instruction 8.) It
is rcy ested that the form be filled in legibly, preferably typewritten.
This column is for
Official use only.
Licence
Cheeked by
Applicant’s Reference No.^lgg. ( s “ Instruction 3.) ^ ^
(a) Full name and address of CONSIGNOR
(See Instruction 8.)
(b) If a registered dealer under the Firearms
Act, 1937, give date and number of curreut
certificate ; and name of issuing authority.
(c) Name and address of person or company to
whom the lioenoe is to be sent.
(d) [1] Proposed date of despatch of goods.
[2] If the goods are to be despatched by
Parcel Post state Post Office of despatch.
(See Instruction 6.)
(e) Prospective port, and country in which situated,
to which the goods are to be exported.
(/) FULL NAME and POSTAL ADDRESS of
CONSIGNEE ABROAD.
Guno Li lted,
Staalx Heath,
-►liV — j-
Cdt^ i olico.
VV38.
As aLovo*
[1 1
^ “ xcano °
Shijfc
atar. Via Boar alii or Bubal,
Persian Gull*
.Post Office.
The Kulor of a tor,
Qatar, Via bahrui. or Bubal,
Borsl&n bull*.
The Instructions in paragraph 4 on the back of this form should be carefully observed when completing this table.
(9)
Quantity.
(See
Instruction
No. 4[d]).
Full Description of the Goods (including calibre, &o.)
•*> 00 ’' Blxlos*.
•bw* Ki- os*
Total F.O.B. Valoe.
If more than one
commodity, state
values separately-
utio J m
I hereby declare that to the best of my knowledge and belief all the particulars in this application are correctly stated, and I undertake
that if this licence is granted to me, it shall be used solely for the export of goods being my own property or the property of a
person, firm or company for whom I am authorised to act in this transaction as the sole responsible representative. I am aware
that any licence granted to me is issued on the condition tfuit the Owner or Shipper of the exported goods, if so required by the
Commissioners of His Majesty's Customs and Excise, shall produce to them, unthin such time as they may allow, proof to thsir
satisfaction that the said goods were duly delivered to the consignee at the destination name*! in the licence. I undertake if this
licence is granted to me to comply with this condition.
b.u.a. ai* lj. rna.
Signed ?
N.B.—This Form must be signed in accordance with Instruction
ascrotvav i
>n8/
If the signatory has been specially approved to sign applications on behalf of his firm, quote here
of the letter approving him for tha purpose.
Official No.
[OVER]