Maharashtra Excise Manual
Manual  › THE BOMBAY FOREIGN LIQUOR RULES, 1953  › FORM F. L. / A-10
Application Form

FORM F. L. / A-10

Application Form for licence to sell beer 2 [or wine or both] in sealed bottles.

See rule 42-A (1)

What this form is for

FORM F.L./A-10 is the application form for a licence to sell beer, wine, or both in sealed bottles. It is filed by an individual or firm seeking to open a retail outlet for sealed-bottle sales of these beverages, and it is addressed to the Collector of the district concerned. The applicant must disclose any past foreign liquor licences and any arrears, and must also give details of the earnest money deposit and proof of solvency. The form is prescribed under rule 42-A (1) of the Bombay Foreign Liquor Rules, 1953, framed under the Bombay Prohibition Act, 1949.

Form text (extracted)
7971949 : Bom. XXV]	Bombay Prohibition Act, 1949
1
[FORM F. L. / A-10]
[See rule 42-A (1)]
Application Form for licence to sell  beer 
2
 [or wine or both] in sealed  bottles.
1.Name and address of the applicant.
2.Names and addresses in full of the Partners, if any.
3.Name of the shop establishment and address
in full with its exact location (if any).
4.Whether  the  applicant  holds  at  present  or held
at any time in the past any licence for the sale of
foreign liquor including mild liquor, and if so, the
details thereof.
5.Whether the establishment has separate store room
adjacent  to  the  proposed  licenced  premises  for
storage of beer 
2
[or wine or both.]
6.Details of Earnest Money Deposit deposited  equi-
valent   to  annual  licence  fee of one  year  (Pay
Order/D.D.), Name of the Bank and date.
7.Whether  any  excise/police/municipal licence held
by the  applicant  was  suspended or cancelled  at
any  time  in the  past, and if so, the period of such
suspension  or  cancellation  and  the  reasons
therefor.
8.Whether  the   applicant  is  in  excise arrears or  in
arrears of any other Government dues such as dues
under the Land Revenue Code, Sales Tax, Income
Tax, etc.
9.Proof of solvency of the applicant.
I hereby declare that the particulars given above are correct.
I hereby undertake to abide by the conditions of the licence and the provisions of the
Bombay Prohibition Act, 1949, and the rules, regulations and     orders made thereunder
from time to time.
Signature of the applicant
Date :
To,
The Collector of ...........................................
1Inserted by  19-8-2004.
2Sub. by  14-8-2006.
Original PDF (as scanned from printed manual)
This is a page from the printed 2023 Excise Manual containing the form. It may include manual page headers/footers.