Maharashtra Excise Manual
Certificate

FORM “CERTIFICATE-3”

[See rule 25 (3)]

What this form is for

Certificate-3 is a delivery certificate that confirms a consignment of Indian-made foreign liquor, exported under an export pass, reached its destination with the seals on the packages and receptacles intact. It is issued by the Excise Officer at the importing place, who records what was delivered, to whom, and on what date. Where applicable, the officer also certifies that the importer has paid all duties and fees under the Bombay Prohibition Act, 1949; this part is struck off if not relevant. The form is prescribed under rule 25(3) of the Maharashtra Foreign Liquor (Import and Export) Rules, 1963.

Form text (extracted)
FORM “CERTIFICATE-3” 
[See rule 25 (3)] 
 
 
 
 
 
No. 
Dated .................................... 
915

Certified that Mr./Mrs./Miss/Messers. ....................................................................................... 
.................................................of ........................................................................... who has/have been 
granted an export pass No. ......................................................... dated ....................................... by 
.......................................... has/have delivered the Indian-made foreign liquor as shown below on 
................................................................ to ............................................ of ..................................... 
in the district of ............................................ in the State of .................................................. 
————————————————————————————————————— 
 
Description of Indian Number of packages Quantity delivered Remarks 
made duty paid imported 
foreign liquor 
or receptacles Litres Strength Proof 
litres 
————————————————————————————————————— 
 
 
 
 
 
 
 
 
 
 
 
 
 
————————————————————————————————————— 
and that the seals of the packages and receptacles containing the above foreign liquor were intact 
at the time of delivery of the consignment at its destination. 
1
[*2. The importer has paid all duties and fees leviable under the Bombay Prohibition Act, 1949 
on the quantity of Indian-made foreign liquor mentioned in the export pass, according to the rates 
prevailing in this State.] 
 
 
 
Signature and designation of the 
Excise Officer at the importing place. 
Place : 
 
 
————————————————————————————————————— 
*   Strike off if not applicable. 1 Ins. 
by G.N. of 7-7-1971.
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.