FORM F. L. / A-9

796	Bombay Prohibition Act, 1949 [1949 : Bom. XXV
FORM F. L. / A-9
[See rule 94-B]
Application  for a pass for transport of foreign liquor within the State of Maharashtra
(1)Name and address of the applicant. .
(2)Kind of licence/permit held by the
applicant and its number and date and by
whom granted.
(3)Quantity and description of foreign liquor
to be transported.
Kind of foreignImperialDozen Dozen Dozen Amount of fee paid
liquor proofquartspintsnipsTransportSpecialTotal
gallons	Rs. Rs. Rs.
(I)Superior spirits
(ii)Cheap spirits. .
(iii)Wines . .
(iv)Fermented liquors. .
(4)(a)The amount of fees paid, if any,. .
(b)Name of the treasury in which paid and its chalan number and date.
(5)Place to which foreign liquor is to be transported.
(6)Route
(7)Purpose for which foreign liquor is to be
transported.
(8)Name and address of the place from which
foreign liquor is to be transported.
(9)Kind of licence held in respect of the
permises from which foreign liquor is to
be transported and its number and date.
(10)Period within which foreign liquor will be transported.
I request that a transport pass for the transport of the above mentioned quantity of
foreign liquor may be issued to me.
I hereby undertake to abide by the conditions of the transport pass and the provisions
of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made there-under.
Signature of the applicant
To,
The Collector of ...........................................
Through the District Prohibition and Excise Officer ..........................................................
1Inserted by G. N. of 17-5-1957.