FORM C. L. XVII

FORM C.L. XVII

(See rules 18 and 31 (3) and condition 9 of the licence in Form C.L., III)

Pass for the transport of duty paid country liquor from the licensed premises of a person holding a wholesale licence to the licensed premises of a licensed retail shop

PART-I

1. Serial No. _____
2. Name and Address of the person transporting the country liquor. _____________________________________________________
3. Licence number of the transporter. _____
4. Quantity and Description of country liquor.
   

   Kind of country liquor	In bulk litres	[†] No. of casks or bottles]	No. of casks or drums	750 ml. bottles	375 ml. bottles	180 ml. bottles
   Country liquor 25 U.P.	.
   Country liquor 40 U.P.	.

5. Route _____________________________________________________
6. Name and Address of the person holding a wholesale licence _____________________________________________________
7. Number and Date of the indent in Form C.L. XXI by the person holding a licensed Retail shop. _____________________________________________________
8. Date upto which the pass shall be valid. _____

This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949 and the rules made thereunder authorising the above mentioned transport, subject to the following conditions, namely:

The consignment shall not be broken in transit.

Dated: _____

1 Added by G. N. of 20-6-1977.
2 Inserted ibid.

FORM C.L. XVII

[See rules 18 and 31 (3) and condition 9 of the licence in Form C.L., II]

Pass for the transport of duty paid country liquor from the licensed premises of a person holding a wholesale licence to the licensed premises of a licensed retail shop

PART II

(To be handed over to applicant for sending with the consignment)

1. Serial No. . . . . . . . . . . . . . . .
2. Name and Address of the person transporting the country liquor. . . . . . . . . . . . . . . .
3. Licence number of the transporter . . . . . . . . . . . . . . .
4. Quantity and Description of country liquor.

5. Route . . . . . . . . . . . . . . .
6. Name and Address of the person holding a wholesale licence . . . . . . . . . . . . . . .
7. Number and Date of the indent in Form C.L. XXI by the person holding a licensed Retail shop. . . . . . . . . . . . . . . .
8. Date upto which the pass shall be valid. . . . . . . . . . . . . . . .

This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949 and the rules made thereunder authorising the above mentioned transport, subject to the following conditions, namely :

The consignment shall not be broken in transit.

Dated : . . . . . . . . . . . . . . .

¹ Added by G. N. of 20-6-1977.

FORM C.L. XVII

[See rules 18 and 31 (3) and condition 9 of the licence in Form C.L., II]

Pass for the transport of duty paid country liquor from the licensed premises of a person holding a wholesale licence to the licensed premises of a licensed retail shop

PART III

(To be sent to the Inspector of Prohibition and Excise or Sub-Inspector of Prohibition and Excise as the case may be in whose jurisdiction and licensed premises of the person holding a warehouse is situated.)

1. Serial No. ___________
2. Name and Address of the person transporting the country liquor. ___________
3. Licence number of the transporter. ___________
4. Quantity and Description of country liquor.

Quantity in sealed bottles ¹[or containers]

5. Route . . . .
6. Name and Address of the person holding a wholesale licence ___________
7. Number and Date of the indent in Form C.L. XXI by the person holding a licensed Retail shop. ___________
8. Date upto which the pass shall be valid. ___________

This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949 and the rules made thereunder authorising the above mentioned transport, subject to the following conditions, namely :

The consignment shall not be broken in transit.

Dated : ___________

¹ Added by G. N. of 20-6-1977.

FORM C.L. XVII

[See rules 18 and 31 (3) and condition 9 of the licence in Form C.L., II]

Pass for the transport of duty paid country liquor from the licensed premises of a person holding a wholesale licence to the licensed premises of a licensed retail shop

PART-IV

(To be sent to the Inspector of Prohibition and Excise or Sub-Inspector of Prohibition and Excise, as the case may be of the place to which country liquor is to be transported.)

1. Serial No. __________
2. Name and Address of the person transporting the country liquor. __________
3. Licence number of the transporter. __________
4. Quantity and description of country liquor.

   Kind of country liquor	In bulk litres	[No. of casks or bottles]	No. of casks or drums	750 ml. bottles	375 ml. bottles	180 ml. bottles
   Country liquor 25 U.P.	__________	__________	__________	__________	__________	__________
   Country liquor 40 U.P.	__________	__________	__________	__________	__________	__________

5. Route __________
6. Name and Address of the person holding a wholesale licence __________
7. Number and Date of the indent in Form C.L. XXI by the person holding a licensed Retail shop. __________
8. Date upto which the pass shall be valid. __________

This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949 and the rules made thereunder authorising the above mentioned transport, subject to the following conditions, namely :

The consignment shall not be broken in transit.

Dated : __________

¹ Added by G. N. of 20-6-1977.