FORM T. R. T. D.-5

FORM T. R. T. D.-5 [See rule 17(2)] Tree tapping permit Permission is hereby granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules, regulation and orders made thereunder, to Shri/Sarvashri ............................................................ holder of licence No. ................................ for the sale of toddy at ....................................... authorising him/them to tap and toddy from the toddy producing trees mentioned below : 1. Kind and number of trees . . . . 2. Survey No. . . . . . . 3. Block No. . . . . . . 4. Village . . . . . . 5. Taluka . . . . . . 6. District . . . . . . 7. Names of the owner (s) . . 8. Amount of duty paid for each kind of trees 9. Challan No. and date . . . . Seal ................................................... Signature of the Superintendent of Prohibition and Exicise.