FO371-23514 — Page 277

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(8810/00) WL24754/5653/30599 100 9/88 FHD Gp683

This space for Official use only.

234993

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Application Form A

Number and description of Enclosure forwarded with this application.

110

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.

(a) Full name and address of CONSIGNOR

(See Instruction 8.)

(See Instruction 3.) Date

John Pook & Co.,

13th July, 1939.

68 Fenchurch 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

whom the licence is to be sent.

(d) [1] Proposed date of despatch of goods.

to

[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.

(f) FULL NAME and POSTAL ADDRESS of

CONSIGNEE ABROAD.

[I]

Serial number 104/39 Registration No.56 dated 25/5/1939 issued by Chief Officer City of London Police.

John Pook & Co.,

68, Fenchurch Street,

E.C. 3.

July/August/September

[2] By Parcel Post from

Shanghai, CHINA.

Post Office.

Shanghai Municipal Council,

Shanghai, CHINA,

The Instructions in paragraph 4 on the back of this form should be carefully observed when completing this table.

(g) Quantity

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

(See Instruction

No. 4[d]).

Spares for Pistols Revolvers No.1.

Rifles No.1 II.

255 340

1,282

11

18

.303 Lewis & Vickers Machine Guns.

Total F.0.B. Value.

If more than one commodity, state values separately.

(Approximate)

19. 10.

3.

75.

Total

Circulated to War Office & Home 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 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 I undertake if this satisfaction that the said goods were duly delivered to the consignee at the destination named in the licence. licence is granted to me to comply with this condition.

SIGNED

John Clive Williams.

Partner.

John Pook & Co.

68 Tenchurch Street, N.B. This Form must be signed in accordance with instruc

London, E.C.3.

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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