FO371-23514 — Page 256

(2173/603) Wt31589/2555/50375 10000 12/37 FHD Gp683 ¦ (3067/603) Wt11410/2142/16370 10000 6/38

This space for Official use only.

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Application Form A

Number and description of Enclosure forwarded with

this application.

93

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

I

Chooked by..

Applicant's Reference No. SE/TRAFFIC

(a) Full name and address of CONSIGNOR

(See Instruction 8.)

See Instruction 3.) Date... 28.4.39.

Vickers-Armstrongs Limited,

Vickers House, Broadway, Westminster, S.W.1.

(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.

(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]

One Month

[2] By Parcel Post from

Newcastle

Hong Kong,

CHINA.

Post Office.

The Jardine Engineering Corporation Ltd.

14, Pedder Street,

Hong Kong, China.

(For the Chinese National Government) The Instructions in paragraph 4 on the back of this form should be carefully observed when completing this table.

(0)

Quantity.

(Ses Instruction No. 4[d]).

Full Description of the Goods (including calibre, &c.)

40

Gland Washers for Engines of 6-ton Tanks.

Total F.O.B. Value. If more than one commodity, state values separately.

£

£4.0.0.

Total

Circulated to War Office, Admiralty, Foreign Office.

Total

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 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 to the consignee at the destination named in the licence. I undertake if this licence is granted to me to comply with this condition.

For VICKERS-ARMSTRONGS LIMITED

(Traffic Section)

SIGNED

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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