FORM BR-VIII

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM BR–VIII [See rule 13(1)] Application No. of 20 . Application for clearance of Beer/Wine on payment of duty and transport fee from the Brewery/Manufactory of ............................................................ Description of Beer/Wine No. and DateBatch Variety ofBulk in No. ofContents inStrength of entry in No. Beer/Wine litres each kindeach kind of the register of bottle/bottle/cask/ in Form cask/kegskegs L./ml. BR-VII (1) (2) (3) (4) (5) (6) (7) Amount of transport fee and duty paid Marks andRate ofAmount ofChallan No.Rate ofAmount ofPurposeRemark Number of duty duty paidand Datetransport transportfor which containers fee fee paidcleared (8) (9) (10) (11) (12) (13) (14) (15) I declare that the above particulars are true and correctly stated.I apply for leave to clear the above beer/wine for the purpose stated in column (14) above. The beer/wine will be transported to .................................. (here mention the place where the consignment will be transported) by .......................................... (here mention the route i.e., rail or road). Place : Date : (Signature of the licensee or his authorised agent) To, The Brewery Officer/Manufactory Officer.