( 330 ) 
FORM B. 
Permit granted under Rule V. 
[Obverse ] 
Counterfoil. 
No. 
dated 19 . 
Name of permit-holder— 
Residence— 
Status— 
Note.—T his is to be kept in 
the office containing all neces¬ 
sary details found in the 
Triplicate. 
Duplicate, 
Note.—This is to contain all 
necessary information given 
in triplicate. 
Triplicate. 
Shooting permit 
subject to the Rules 
granted 
on the 
reverse. 
No. 
dated 19 . 
; Name of permit-holder— 
Residence— 
| Status— 
Fee paid for permit— 
i Period for which valid— 
From 19 to 19 . 
Name of forest or portion 
thereof for which permit is 
! granted with boundaries 
thereof. 
