(See rule 13)
N.B. 1. - This form must be completed (in triplicate) simultaneously with tile transfer of ownership.
2. One copy shall be sent to registering officer concerned and the other two to the Director-General, Archaeological Sur-vev of India, New, Delhi, by registered post so as to reach them within ten days of transfer.
3. In case the object is an unregistered antiquity, each copy of this form shall be accompanied by a photograph (in sharp focus) of the object in postcard or quarter-size. If the sides of the object are decorated differently than the front. the photographs, as stated above, shall be sent in respect of each such side also in addition to the front side.
4. The responsibility for completion of the above formalities rests with the seller/giver if the object has been sold, gifted or donated; otherwise with the new owner of the object.
Section A (to be completed by the seller/giver)
1. Name of owner
2. Address of owner
3 Licence No
4. *Serial No. in Register
5. *Serial No. in Album
6. Nanie/Subject of object
7. Nature (e.g. sculpture, painting, manuscript, coins, etc.)
8. Whether it is registered?
If so-
(i) Name and Station of registering Officer
(ii) Registration No...
9. Material
10. Size
11. Price offered
Place... Signature of owner
Date Name in Block Letter
As signed and seal
Section-B (to be completed by the new owner)
1. Name
2. Complete address
(i) Present
(ii) Permanent
3. Mode of acquisition (e.g. purchase, gift, inheritance, donation, etc.)
4. Present location of object
5. Safeguards for preservation and security of the object
6. Nationality
7. Passport No.
8. Duration of stay in India.
9. Purpose of visit.
I hereby declare that the information given by me is correct and complete to the best of my knowledge and belief. I undertake to observe the provisions of the Antiquities and Art Treasures Act, 1972, and the rules made thereunder as in force from time to time.
I am aware that the object now acquired by me is an antiquity, that it cannot be taken or sent out of the territorial limits of India except on the authority of a permit issued by Director-General, Archaeological Survey of India and that any attempt to take or send out of India without such a valid permit is punishable under the law.
Station Signature
Date. Name (in capital letters)
as signed.
* Applicable in the case of dealers only.
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