FORM - A

FORM-A

(See rule 10)

Intimation of Manufacture of Sacramental Wine

(To be prepared in quadruplicate: original to be sent to the Officer-in-charge, the duplicate to the Inspector, the triplicate to the Collector, and the quadruplicate to be retained as office copy.)

To,
The Officer-in-charge, ______

Sir,

I have the honour to inform you that about ______ gallons of "must" (fresh crushed juice of raisins) is going to be prepared in my manufactory situated at ______ on ______, when ______ lbs. of water will be added to ______ pounds of raisins. The fermentation is expected to start on ______ and to be completed on ______. The manufactured wine will be bottled on ______.

Yours faithfully,

Signature of the Licensee

Copy to—

1. the ¹[Inspector of Prohibition and Excise];
2. the Collector of ______.