Manual
› THE BOMBAY FOREIGN LIQUOR RULES, 1953
› FORM F. L./A-6-B
Application Form
FORM F. L./A-6-B
Application for a permit for the purchase, possession, transport, use and consumption of Foreign Liquor and Country Liquor in the State of Maharashtra.
See rule 70-D(2)
What this form is for
Form F.L./A-6-B is the application for a permit to purchase, possess, transport, use and consume foreign liquor and country liquor in Maharashtra. It is filed by an individual who requires liquor on health grounds, and it is supported by a medical certificate in Form F.L./M.C. I from a registered medical practitioner. The application is addressed to the Collector or an authorised officer. It is made under rule 70-D(2) of the Bombay Foreign Liquor Rules, 1953, and the applicant undertakes to abide by the Bombay Prohibition Act, 1949 and its rules.
Form text (extracted)
7871949 : Bom. XXV] Bombay Prohibition Act, 1949 1 FORM F. L./A-6-B] [See rule 70-D(2)] Application No. Application for a permit for the purchase, possession, transport, use and consumption of Foreign Liquor and Country Liquor in the State of Maharashtra. (1)Name in full Shri/Smt./Kum. .............................................................................................. (Surname first in Block letters) (2)Residential address in full ................................................................................................. (3)Age and date of birth ........................................................................................................ (4)Details of proof of age produced with this application ................................................. (5)Occupation .......................................................................................................................... (6) 2 * * * * * * * 3 [I hereby declare that I require foreign liquor and country liquor on grounds of health and in support of my application.I submit herewith the medical certificate in Form F.L./M.C. I signed by Dr. .................................................................................................... Registered Medical Practitioner.] 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. Place : Signature or thumb impression of Date : the Applicant. To The Collector of ................................ (or authorised Officer.)] ------------------------- 4 [FORM F. L. X-B] (Deleted) 5 [FORM F. L./A. 6-C] (See rule 70-F) Application No. Application for a permit for the purchase, possession, transport, use and consumption of mild liquor in the State of Maharashtra. (1)Name in full . .Shri/Smt./Kumari ................................................. (Surname first in block letters) (2)Residental address in full. ................................................................................. Court Fee Stamp Court Fee Stamp 1Subs. by G. N. of 8-8-1979. 2Deleted by G. N. of 4-5-1982. 3Subs. ibid. 4Deleted by G. N. of 8-8-1979. 5Ins ibid.
Original PDF (as scanned from printed manual)