FORM F. L./A-6-A

7831949 : Bom. XXV]	Bombay Prohibition Act, 1949
1
[FORM  F.  L./A-6-A]
[See rule  70A(1)]
Application No.
Application for a tourist’s permit to possess, consume, use and buy
foreign liquor for personal consumption
1.Name in full (Surname first in
BLOCK letters.)
2.Permanent address. .
3.Temporary address in the
2
[State of Maharashtra].
4.Period of temporary stay in—
(1)The 
2
[State of Maharashtra].
(2)India. . .
5.(a)Whether the applicant is
a citizen of India.
(b)Name of the country where
the applicant—
(i)Was born . .
(ii)Was brought up
(c)Name of the country in
which the applicant is
domiciled.
6.Number and date of passport,
and Tourist Introduction Card
or Tourist’s visa and the author-
ity which issued it.
7.Age. . .
8.Number of units of foreign
liquor per week.
I hereby declare that—
(a)I am a tourist.
(b)I do not hold any permit under the Bombay prohibition Act, 1949, for the posses-
sion, consumption, use and purchase of foreign liquor in the state of Maharashtra nor
have I made any other application for such permit.
(c)The particulars given above are correct.
I hereby undertake to abide by the conditions of the permit and the provisions of the
Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder.
1Subs. by G. N. of 28-6-1956.
2Subs. by G. N. of 25-7-1963.

784	Bombay Prohibition Act, 1949 [1949 : Bom. XXV
I request that L may be granted a tourist’s permit for ....................................................  day
Date ................................
Signature of the applicant.
To
The Collector of ............................................................................
The Prohibition and   
Excise
  ...........................................................................
   
 Police Officer
1
 * * *	* * *
[Reverse of Form F. L./ A-6-A]
(For office use only)
Date of application .........................................................
Registration No. .............................................................................
Permit prepared by .......................................... and /issued on  .................................................
Received the permit No.   .................................................  on  .....................................................
Signature of the applicant.
Superintedent of prohibition and Excise
, ...............................
Forwarded to the ——————————————————————————
District Inspector of Prohibition and Excise, .........................................
for disposal.
This is no certify that  
Excise
  ...........................................................................
   
 Police Officer
1Deleted by G. N. of 8-7-1969.