FORM S.P./A-2

: Bom. XXV] Bombay Prohibition Act, 1949 FORM “CERTIFICATE-1” (See rule 6 ) No. .............................................. Dated .......................................... Certified that Shri/Shrimati/Kumari/Messrs. .............................................................. ...................................................................... of ............................................................................... who has/have been granted an import pass No. ................................................................... dated ............................................................................ by .................................................................... has/have been issued spirituous preparation from the premises of ............................ ...................................................................... of .................................................................... as shown below :— Number and Name of thedescription of eachMarks and Nos. onQuantity contained spirituouskind of receptacle packages or in each receptacle orStrength preparation or package receptacles package B.L. P.L. and that the receptacle and packages containing the said spirituous preparation are securely packed in my presence and sealed with my official seal. Signature and designation of the Excise Officer at the exporting place. Place ................................ FORM S.P./A-2 (See rule 15) Application for a pass to export spirituous preparations 1.Name and address of the applicant. . 2.The description of spirituous preparation to be exported– (a)Name of the spirituous preparation (together with the name of the manufacturer) (b)Quantity . . . . (c)Alcoholic strength of the spirituous preparation. 336 Bombay Prohibition Act, 1949 [1949 : Bom. XXV 3.Place, i.e., Shop No./House No. where it is to be imported together with the name of village/town, taluka and district. 4.Name and address of the person to whom the spirituors preparation is to be exported. 5.Importing place (name of the village/town, taluka, district and State). 6.Route by which to be exported (please state railway route and also the road route, if any). 7.Whether the application for export of the spirituous preparation is accom-panied by a corresponding import permit or no objection certificate granted by the Collector or Excise Officer of the district to which it is to be exported. 8.Whether the applicant has exported this preparation in past one year. 9.Whether the applicant holds a licence under :– (a)The Drugs Act, 1940 ; (b)The Bombay Spirituous Medicinal Preparation (Sale) Rules 1954 ; (c)The Bombay Toilet Preparations (Sale) Rules 1954 ; (d)The Spirituous Preparations (Inter- State Trade and Commerce) Control Act, 1955; (e)The Bomaby Drugs (Control) Act, 1959. 10.I have been convicted on (date)* I have not been convicted at any time of an offence punishable under any provision of the Bombay Prohibition Act, 1949, the Bombay Drugs (Control) Act, 1959, the Spirituous Preparations (Inter-State Trade and Commerce) Control Act, 1955, the Dangerous Drugs Act, 1930 or the Drugs Act, 1940, or any other law relating to liquor, intoxicating drugs or opium ; 1 * * * * I declare that the above particulars are correct. I undertake that as soon as possible within three months of the expiry of the pass for the export of the abovementioned spirituous preparation, I shall produce before the local Superintendent of Prohibition and Excise or District Inspector of Prohibition and Excise, as the case may be, a receipt signed by the importer in token of his having received the spirituous preparation in question. 1. Deleted by G.N. of 24-1-1968 3371949 : Bom. XXV] Bombay Prohibition Act, 1949 I request that a pass under the Maharashtra Spirituous Preparations (Import and Export) Rules, 1963, for the export of the spirituous preparations referred to above may please be granted to me. (* Strike out whichever is not applicable) Place ......................................... Date........................................... Signature of the applicant. To The Collector of............................................................................................................ FORM S.P. 2 (See rule 16) PART I (To be retained on the record of the office of the Collector or the officer granting the pass) Pass for the export of spirituous preparation No. .............................................. Dated .......................................... 1.Name and address of the exporter.. . 2.Kind of licence or permit held by the ex- porter and its No. 3.Quantity and name of spirituous prepara- tion to be exported. 4.Name and address of the person to whom spirituous preparation is to be exported. 5.Place to which spirituous preparation is to be exported. 6.Place from which spirituous preparation is to be exported. 7.Route (State also the place up to which re- moval of spirituous preparation will be by road during its transit in the State of Maharashtra). 8.Period for which this pass shall be valid. This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and order made thereunder and subject to the following conditions, namely :–