FORM C.L. XIV

Sr.No. ________________

FORM C.L. XIV

[See rule 7(2)]

Pass for the transport of duty paid country liquor as detailed on the reverse

(Original)

(To be retained by the Manufactory Officer)

1. Ref. of relevant page No. of Register in Form C.L.X.
2. Name and address of the transporter: _____________________________
3. Place to which the country liquor is to be transported: _____________________________
4. Place from which country liquor is to be transported: _____________________________
5. Route (i.e. by road or rail) by which country is to be transported (State here the places via which the consignment will be sent): _____________________________

The consignment shall not be broken in transit. This pass shall remain force upto and including ______________19 __

Seal

Place : _____________________________

Date : _____________________________ Manufactory Officer

(Reverse)

Details of the country liquor allowed to be transported from _____________________________

(Here state the name of the Manufactory)

Place : _____________________________

Date : _____________________________ Manufactory Officer.

FORM C.L. XIV—Contd.

[See rule 7(2)]

Serial No._______________

Pass for the transport of duty paid country liquor as detailed on the reverse

(Duplicate)

(To be forwarded to the Inspector of Prohibition and Excise at the place of destination)

Information to be filled:

1. Reference of relevant page No. of register in Form C.L.X.
2. Name and address of the transporter.
3. Place to which the country liquors is to be transported.
4. Place from which country liquor is to be transported.
5. Route (i.e. by road or rail) by Which country liquor is to be transported (State here the places via which the consignment will be sent.)

The consignment shall not be broken in transit. This pass shall remain in force upto _______ and including _______________________19_____.

(Reverse)

Details of the country liquor allowed to be transported from ___________________________________

(Here state the name of the Manufactory)

___________________________________________________________________________________

¹ Deleted, by G. N. of 8-8-1979.

FORM C.L. XIV—Contd.

[See rule 7 (2)]

Serial No. _______________

Pass for the transport of duty paid country liquor as detailed on the reverse

(Triplicate)

(To be handed over to the Wholesale licensee to accompany consignment)

1. Reference of relevant page No. of register in Form C.L.X.
2. Name and address of the transporter.
3. Place to which the country liquor is to be transported.
4. Place from which country liquor is to be transported.
5. Route (i.e. by road or rail) by Which country liquor is to be transported (State here the places via which the consignment will be sent.)

The consignment shall not be broken in transit. This pass shall remain in force upto and including 19___.

(Reverse)

Details of the country liquor allowed to be transported from ........................................

(Here state the name of the Manufactory)

______________________________________________________________________________________

1 Deleted by G. N. of 8-8-1979.