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(3810/603) Wt24754/5553/36599 100м 9/38 FHD Gp683
This space for Official use only.
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235766
Application Form A
Number and description of Enclosure forwarded with this application.
118
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 not followed, if any of the questions below are not answered, or if the declaration is not signed. (See Instruction 8.) It is requested that the form be filled in legibly, preferably typewritten.
This column is for Official use only.
Licence
Checked by..
Applicant's Reference No.....4417
(a) Full name and address of CONSIGNOR
(See Instruction 8.)
(See Instruction 3.) Date 3.8.39
Matheson & Co. Ltd.,
3, Lombard Street,
E.C.3.
(b) If a registered dealer under the Firearms Act, 1937, give date and number of current certificate; and name of issuing authority.
(c) Name and address of person or company to
whom the licence is to be sent.
as above
Promptly
(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.
(ƒ) FULL NAME and POSTAL ADDRESS of
CONSIGNEE ABROAD.
[1]
[2] By Parcel Post from
Hong Kong
Central Trust of China,
Hong Kong.
Post Office.
The Instructions in paragraph 4 on the back of this form should be carefully observed when completing this table.
(g) Quantity (See Instruction No. 4[d]).
Full Description of the Goods (including calibre, &c.)
Total F.O.B. Value.
If more than one commodity, state values separately.
£
390
380
pieces Ball Bearings for Vickers-Armstrongs 6-ton Tanks
£442.7s. 6.
#
#
#
Amphibious Tanks
£132.11. 8.
Total
Circulated to War Office, Home Office, Admiralty, ForeigOffice.
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 that 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, within such time as they may allow, proof to their satisfaction that the said goods were duly delivered the
I undertake if this ut the licence. licence is granted to me to comply with this conditioning the dination names in
SIGNED...
?
Director.
N.B.-This Form must be signed in accordance with Instruction 8.
If the signatory has been specially approved to sign applications on behalf of his firm, quote here
Official No.
of the letter approving him for the purpose.
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