( 327 ) 
FORM A. 
Permit to be granted under Rule IV. 
[ Obverse . ] 
License to hunt , shoot or fish within a Reserved Forest—Fee Rs. 10 . 
Permit to hunt, shoot or fish 'within the-Reserved Forest of the- 
Division between the date of the permit and the 30th June 19 , granted under 
Rule IV of the Rules issued under notification No. , dated the 
subject to the conditions specified on the reverse. 
(a) To 
(b) Of 
(c) Status 
The holder of this permit is permitted to hunt, shoot and fish in the forest 
mentioned in the license between the 1st February and the 30th June. 
Note.—O ther details may be added for the purpose of identification at the discretion of 
the officer granting this permit. 
day of 19 . 
Signature of Officer granting the permit. 
