FORM BR-XI

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM BR-XI [See rule 18(4)] Return of transactions at the Brewery/Manufactory of ................................. at ................................... during the month of ................................ 19. (To be submitted by the licensee by the 5th of every month) 1.No. of batches-- (a)manufactured (b)in unfinished condition at the end of the month 2.Particulars of the Beer / Wine manufactured. Opening balance Manufactured Variety of Batch Bulk Number of Contents of Bulk beer / wine No. litres each kind of each kind of litres bottles/casks/ bottles/casks/ kegs kegs/L/ml. (1) (2) (3) (4) (5) (6) during the month Total stock Clearance during the month Number ofContents of Bulk Number ofContents ofNumber of Contents in each kind of each kind oflitreseach kind of each kind of each kind of each kind of bottles/casks/ bottles/casks/ bottles/casks/ bottles/casks/ bottles/casks/ bottles/casks/ kegs kegs/L/ml. kegs kegs/L/ml. kegs kegs/L/ml. (7) (8) (9) (10) (11) (12) (13) 6891949 : Bom. XXV] Bombay Prohibition Act, 1949 Quantity issued under bond Duty paid Transport fee Bulk Number of eachContents in each during the paid during the litres kind of bottles/ kind of bottles/ month month casks/kegs casks/kegs L./ml. (14) (15) (16) (17) (18) --------------------------------------------------------------------------------------------------------------------- Total Quantity issued Closing balance at the end during the month of the month Bulk Number ofContents in Bulk Number ofContents inRemarks literseach kind of each kind ofliterseach kind of each kind of bottls/casks bottls/casks bottls/casks bottls/casks kegs kegs L/ml. kegs kegs L/ml. (19) (20) (21) (22) (23) (24) (25) I/We declare that the particulars in this statement have been correctly stated. Countersigned and forwarded to the Superintendent / District Prohibition and Excise Officer ............................................................... Brewery / Manufactory Officer. (Signature of the licensee or his authorised agent)