Form C.L.A

Form C.L.A.

(See rule 3(1) and rule 4(2))

Application for Licence to manufacture Country Liquor

(Delete the portion not applicable)

To
The Commissioner of Prohibition and Excise,
Maharashtra State, Bombay.

Sir,

I/We _________________________________________________________________ of _____________________________

request that I/We may be granted _____________ licence to manufacture country liquor (here full address) _____________ the accompanying _____________ during the year _____________ ending on the 31st March 19_______.

_____________ may be renewed for period

2. I/We hereby declare particulars (in the table overleaf) of the Manufactory and the premises where I/We intend to carry on business for the manufacture of country liquor.

Note: There affix Court Fee Stamp

1. Deleted by G. N. of 8-8-1979.
2. Subs. ibid.
3. Ins. ibid.

3. I/We hold licence No. __________________ for constructing and working a distillery for the manufacture of spirit valid up to __________________.
   [Or/I/We hold licence No. __________________ for the possession and use of Rectified Spirit valid up to __________________.]
4. I/We agree to abide by the terms and conditions of the licence which may be granted/renewed, and the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder.
5. I/We have enclosed in quadruplicate the site and elevation plans of the manufactory premises, together with relevant records.
6. I/We enclose four signed copies of the process which I/We desire to adopt for the manufacture of each variety of country liquor.
7. I/We enclose a Chalan No. __________________ dated __________________ evidencing payment of a sum of ¹[Five hundred rupees (Rs. 500)] for the application.
8. I/We hereby declare that no excise licence previously held by me/us has been, revoked or suspended or has failed to be renewed owing to breach of the Act, rules regulations, notifications or orders governing the grant of such licence.
9. I/We declare that to the best of my/our knowledge and belief, the information furnished herein is true and complete.

Place __________________

Dated __________________

¹  Added by G. N. of 21-7-1973.

²  Added by G. N. of 21-7-1973.

FORM C.L.A.

TABLE

1. Name or names and address or addresses of the person or persons applying, if the applicant is a firm, the name and address of every partner of the firm and if a company, the registered name and address thereof, the names of the Commissioners, Managers and Managing Agents, and if there is a Managing Commissioner, his name.
2. The name of the place and the site on which the building or buildings housing the Manufactory is/are situated to constructed ; the following particulars, with distinguishing letter or number or letter and number of each to be furnished :
   • (i) Brief description (with boundaries) of the premises.
   • (ii) Description of each main division or sub-division the manufactory.
   • (iii) Spirit rooms
   • (iv) Manufacturing and bottling room's.
   • (v) Store rooms.
3. Approximate date from which the applicant desires to commence the manufacture of country liquor.
4. The number and full description of the vats, and other permanent apparatus and machinery which the applicant wishes to set up or work, or has–already set up (give distinguishing letter or number or letter and number of each).

Place ..................................................

Dated ..................................................

Signature's of the applicant's