1 [FORMS R.S. III-A

--- Page 1 --- 254 Bombay Prohibition Act, 1949 [1949 : Bom. XXV ‘TFORMSR.S. III-A [See rule 20(1)] Application for a pass for the transport of rectified spirit (including absolute alcohol) from the licensed premises of a person holding a sale licence or from a Government warehouse or distillery *lor any licensed distillery or warehouse] to the licensed premises of a licensee holding a licence in Form R.S.IL. 3[Rs. VI or R.S. VI-A]. 1. Name and address of the applicant 2. Kind of licence held by the applicant and its number and date and by whom granted. 3. Quantity and description of rectified spirit to be transported. Kind of spirit [Proof litres] 3[Dozen bottles * [Dozen bottles *[Dozen bottles each of 750 each of 500 each of 250 millilitres] millilitres] millilitres] (1) (2) (3) (4) (5) Rectified Spirit Absolute Alcohol *(4) (a) The amount of fees paid if, any: Rs. P. Transport Fee Special Fee Total fees (b) Name of the Treasury in which the fees are paid and the challan number and date. (5) Place to which rectified spirit is to be transported. (6) Route (7) Purpose for which rectified spirit is to be transported. (8) Name and address of the place from which rectified spirit is to be transported. (9) Kind of the licence held in respect of the premises from which rectified spirit is to be transported and its number and date. (10) Period within which rectified spirit will be transported. * These particulars are not to be given in the case of transport of rectified sprit by a person holding, a licence in Form R.S.II, incidental to its purpose from a person holding a sale licence in Form R.S.VI 1. Ins. by GN. of 19-11-1957. 2. Subs. by GN. of 28-2-1961 3. Subs. by GN. of 26-9-1966  --- Page 2 --- 1949 : Bom. XXV] Bombay Prohibition Act, 1949 255 I request that a transport pass for the above quantity of rectified spirit may be issued to me. I hereby undertake to abide by the conditions of the transport pass and the provisions of the Bombay Prohibition Act, 1949, and the rules, regulation and order made thereunder. Place : Date : Signature of the applicant. To, कल (णा०्छग ०६ ..................-----०-००००००००० ००००-०० Through the District Prohibition and Excise Officer ...............---०००-०००--००-०- ०-० ] 1TFORMR.S. IV [See rule 20 (2)] Pass for the transport of rectified spirit (including absolute alcohol) from the licensed premises of a person holding a sale licence or from a Government warehouse or distillery *[or any licensed distillery or warehouse] to the licensed premises of a licesee holding a licence in Form R.S.II, 3[R.S.1 or R.S. VI-A]. Part I (Counterfoil). (1) Serial Number. (2) Name and address of the person transporting the rectified spirit (including absolute alcohol). (3) Licence number of the transporter. 1. Subs. by G.N. of 19-11-1957. 2. Ins by GN. of 28-2-1961 3. Subs by G.N. of 26-9-1966