FORM E1

858 	Bombay Prohibition Act, 1949 	[1949 : Bom. XXV 
 
1
 [ FORM E-1 
(See rule 5A) 
Form of application for a licence to sell wine. 
1. Name and address of the applicant. 
2. Names and addresses in full of the 
partners, if any. 
3. The address in full of the premises where wine 
would be sold. 
2
[“4. Whether the proposed premises referred to at 
item 3 above are– 
(a) within 50 meters from any educational or 
religious institution, if they are within 
the jurisdiction of any Municipal Corporation or ‘A’ 
Class or ‘B’Class Municipal Council and 100 metres 
if situated elsewhere.] 
(b) within 100 metres from any bus stand, station or 
depot of the Maharashtra State Road Transport 
Corporation.”] 
5.   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 or 
wine and if so, the period during which it was 
held. 
“ 6. 
2
[Carpet area of the proposed licence where 
consumption of wine will be allowed and 
sitting capacity provided at a time.” 
2
[“ 7. Whether the establishment has separate store 
room within proposed licensed premises for 
storage of wine and its area.”] 
2
[8. Total area of the proposed licensed pre- mises.] 
9. Proof of solventry of the applicant. 
10. Whether any Excise/Police/Municipal 
Licence held by the applicant was sus- 
pended or cancelled at any time in the part, 
and if so, the period of such sus- pension or 
cancellation and the reason therefor. 
11. Whether the applicant is in Excise arrears or 
in arrears of any other Government dues, 
such as Sales Tax, Income Tax, etc. 
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 there under from 
time to time. 
Date : 	Signature of the applicant. 
The Collector of .................... ] 
 
1 Ins. by G. N. of 8-1-2002. 	2. Sub. by 27-7-2007.