Maharashtra Excise Manual
Manual  › FORM CERTIFICATE I
Certificate

FORM CERTIFICATE I

FORM CERTIFICATE I

[See rule 15(3)]

What this form is for

Form Certificate I is an export-side certificate in which an Inspecting or Excise Officer confirms that country liquor issued from a distillery has been measured, securely packed and sealed in his presence, with its description, strength and quantity recorded. It is completed by the officer at the place of export whenever a person holding an import pass has been issued country liquor from the distillery, and it accompanies the consignment as proof of what was dispatched. The form is prescribed under rule 15(3) of the rules framed under the Bombay Prohibition Act, 1949.

Form text (extracted)
5591949 : Bom. XXV]	Bombay Prohibition Act, 1949
FORM  CERTIFICATE  I
[See rule 15(3)]
No. ...........................................
Dated .......................................
Certified that Shri/Smt. /Kumari/Messrs.   ........................................................................ of
................................. ............................................................  who has/have been granted an
import Pass No.  ...................................  dated  ......................................  by ...............................
has/have been issued country liquor from the Distillery at  ................................................. in
the district of  ...................................  as shown below :
————————————————————————————————————
Description of No. of description of Marks and No. onCapacity of each
Country Liquor each kind of sealed sealed package or sealed receptacle
receptacle or packages receptacles or packages.
(1) (2) (3) (4)
————————————————————————————————————
————————————————————————————————————
————————————————————————————————————
Actual contents Thermometer Hydrometer Strength Proof  Litres
Litres indication indication
(5) (6) (7) (8) (9)
————————————————————————————————————
————————————————————————————————————
and that receptacles and packages containing the said country liquor are securely packed
in my presence and sealed with my official seal.
Seal
...............................................
Signature and designation of the
Inspecting or Excise Officer at the place of Export.
Place ....................................
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.