1[FORM R.S. IV

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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

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256 Bombay Prohibition Act, 1949 [1949 : Bom. XXV

4. Quantity and description of the spirit--

 

‘(Dozen 'TDozen Dozen *Amount to fees paid
bottles bottles bottles  ------------------------------------

Kind of spirit ' [Proof each of 750 each of 500 each of 250 Pass Special Total
litres] millilitres] millilitres] —_— millilitres] Fee Fee Fee

Rs. P Rs. P. Rs. P.

 

Rectified Spirit :

Absolute Alcohol

 

(5) Route.

(6) Name and address of the person
holding a sale licence or Government
warehouse or distillery.

(7) Number and date of the requisition
order.

(8) The purpose for which rectified
spirit is to be transported.

(9) Date up to which the pass shall be

valid.

This pass is granted under and subject to the provisions of the Bombay Prohibition
Act, 1949, and the rules made thereunder authorising the abovementioned transport,
subject to the following condition, namely:-

The consignment shall not be broken in transit.

 

Dated:
Signature of the Officer issuing the pass.
छ्श्ंशाथाणा ..................---------
Seal of the
Officer issuing
the pass
* 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 person holding a sale licence in
Form R.S.VI

1. Ins. by GN. of 26-9-1966

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1949 : Bom. XXV] Bombay Prohibition Act, 1949 257

FORM R.S. IV
PARTI
Pass of 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
licensee holding a licence in Form R.S. IT [R.S. VI. or R.S. VIA]
[To be handed over to the applicant for sending with the consignment]
(1) Serial Number
(2) Name and address of the person transporting
the rectified spirit (including absolute alcohol).
(3) Licence Number of the transporter.
(4) Quantity and description of the spirit.

 

*[Dozen *[Dozen "(Dozen *Amount of fees paid
bottles bottles bottles | ------------------------------------
Kind of spirit ' [Proof each of 750 each of 500 each of 250 Pass Special Total
litres] milliliters] milliliters] — milliliters] Fee Fee Fee

Rs. P Rs. P. Rs. P.

 

Rectified Spirit :
Absolute Alcohol

 

(5) Route.
(6) Name and address of the person holding a
sale licence or Government warehouse or distillery.
(7) Number and date of the requisition order.
(8) The purpose for which rectified spirit is to
be transported.
(9) Date upto which the pass shall be valid.
This pass is granted under and subject to the provisions of the Bombay Prohibition
Act, 1949, and the rules made thereunder authorising the abovementioned transport,
subject to the following condition, namely:-
The consignment shall not be broken in transit.
Dated:
Signature of the Officer issuing the pass.
फिल्बंशाभा0ा ...........................
Seal of the
Officer issuing
the pass
Rectified 9011//0501ए(2./4100101 5710001 ..................................
Signature of the person holding a sale licence or
of the Warehouse Distillery Officer.

 

*These particulars are not to be given in the case of transport of rectified spirit by a person holding a
licence in Form R.S.Ii, incidental to its purchase from person holding a sale licence in Form R.S. VI.
1. Subs. by G. N. of 28-2-1961.
2. Subs. by G. N. of 26-9-1966

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258

Bombay Prohibition Act, 1949 [1949 : Bom. XXV

FORMR.S.IV
Pass of 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
licensee holding a licence in Form R.S. IT [R.S. VI. or R.S. VIA]
PART II
[To be sent to the person holding a sale licence or Warehouse Officer or Distillery
Officer from whom the rectified spirit is to be purchased]
(1) Serial Number
(2) Name and address of the person transporting
the rectified spirit (including absolute alcohol).
(3) Licence Number of the transporter.
(4) Quantity and description of the spirit.

 

2[Dozen 2[Dozen 2[Dozen *Amount to fees paid
bottles bottles bottles ------------------------------------
Kind of spirit * [Proof each of 750 each of 500 each of 250 Pass Special Total
litres] milliliters] milliliters} milliliters] Fee Fee Fee

Rs. P. Rs. P. Rs. P.

 

Rectified Spirit :
Absolute Alcohol

 

(5) Route.
(6) Name and address of the person holding a
sale licence or Government warehouse or distillery.
(7) Number and date of the requisition order.
(8) The purpose for which rectified spirit is to
be transported.
(9) Date upto which the pass shall be valid.
This pass is granted under and subject to the provisions of the Bombay Prohibition
Act, 1949, and the rules made thereunder authorising the abovementioned transport,
subject to the following condition, namely:-
The consignment shall not be broken in transit.
Dated:
Signature of the Officer issuing the pass.

छिल्ग्नशाभाणा ...................--------
Seal of the
Officer issuing
the pass
Rectified 9011//0501ए(2.1000015१110001..................................
Signature of the person holding a sale licence or

of the Warehouse Distillery Officer.

*These particulars are not to be given in the case of transport of rectified spirit by a person holding a
licence in Form R.S.Ii, incidental to its purchase from person holding a sale licence in Form R.S. VI.
1. Subs. by G. N. of 28-2-1961.
2. Subs. by G. N. of 26-9-1966.

 

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1949 : Bom. XXV] Bombay Prohibition Act, 1949 259

FORMR.S. IV
Pass of 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
licensee holding a licence in Form R.S. IT [R.S. VI. or R.S. VI A]
PARTIV
°[To be sent through the *[Inspector or the Sub-Inspector of Prohibition and Excise, as
the case may be], in whose jurisdiction the licensed premises of the person holding a sale
licence or warehouse or distillery, as the case may be, is situated, to the *[Inspector or the
Sub-Inspector of Prohibition and Excise, as the case may be,] of the place to which
rectified spirit is to be transported].
(1) Serial Number
(2) Name and address of the person transporting
the rectified spirit (including absolute alcohol).
(3) Licence Number of the transporter.
(4) Quantity and description of the spirit.

 

4[Dozen 4[Dozen 4[Dozen *Amount of fees paid
bottles bottles bottles = ------------------------------------
Kind of spirit ‘+ [Proof each of 750 each of 500 each of 250 7855 Special Total
litres] milliliters] milliliters] _—_— milliliters] Fee Fee Fee

Rs. P Rs. P’ Rs. P

 

Rectified Spirit :
Absolute Alcohol

(5) Route.
(6) Name and address of the person holding a
sale licence or Government warehouse or distillery.
(7) Number and date of the requisition order.
(8) The purpose for which rectified spirit is to
be transported.
(9) Date upto which the pass shall be valid.
This pass is granted under and subject to the provisions of the Bombay Prohibition
Act, 1949, and the rules made thereunder authorising the abovementioned transport,
subject to the following condition, namely:-
The consignment shall not be broken in transit.

 

Dated:
Signature of the Officer issuing the pass.
फिल्ग्नशाभा0णा ..........................-
Seal of the
Officer issuing
the pass
Rectified 9011//0501ए(2/100101 5710001 ..................................
Signature of the person holding a sale licence or
of the Warehouse Distillery Officer.

 

* These particulars are not to be given in the case of transport of rectified spirit by a person holding
a licence in Form R.S.II, incidental to its purchase from person holding a sale licence in Form R.S.VI.

1. Subs. by GN. of 28-2-1961 3. Subs. by GN.

2. Subs. by GN. of 24-2-1956 4. Subs. by GN. of 26-9-1966.