(See rule 12) Whereas……………….resident of……………..has applied for registration of the antiquity/ antiquities mentioned below, and has undertaken to observe the provision of the Antiquities and Art Treasures Act, 1972, and the rules made thereunder. (Place) I…………..registering officer do hereby grant this certificate under Sec.16 of the said Act to the said for the object. described below together with authenticated photographs. 1. Name of objects 2. Material 3. Size (height and width) 4. Approximate date 5. Location The certificate is granted to subject to the provision of the said Act and the rules made thereunder and is further subject to the condition that in the event of change of location of the antiquity from area of registration to another or its sale. the fact must be communicated by the owner to the registering officer, with the name and address of the person/firm etc. whom/which it was sold or gifted. Seal of office Place Signature Date Name of registering officer Designation
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