FORM C. I. W. V

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM C. I. W. V [See rule 15(1)] Pass for the import of country liquor (On payment of duty in the State of Maharashtra) PART I For record in the Office of Collector ................................. District No ....................... of 20 Shri/M/s. ................................................................................................................. having paid in to the Government Treasury at ......................................................................... the sum of Rs. ........................................................ (Rupees) only on account of duty on the under mentioned description and quantity of country liquor is/are hereby permitted to import the said country liquor from the Distillery at ................................................................... in the district of ........................................................... in the state of ............................................... to his/their wholesale (Trade) licensed premises ................................. situated a ............................ Greater Bombay ........................................................................................................................... in the district of ———————————————————————————————————— Quantity Description of Country Liquor———————————— Strength LitresProof Litres ———————————————————————————————————— ———————————————————————————————————— The consignment shall be conveyed by rail/road, via .......................................... shall be inspected en-route at .................................... by * ...................................................... and on arrival at the destination shall be examined at ..................................................................... by ** at ............................................... it shall not be broken in transit. This pass shall remain in force upto the ............................................................... day of .................................................................................. 19 . This pass issued subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made thereunder and the conditions specified in this pass. Dated the ............................................... day of ....................................................... 19 . (Signature) ............................................. Collector, ............................................... † Parts II and III of this pass have been forwarded to ..................................................................... (Signature) ............................................. Dated ........................................Collector, ................................. District. *Here enter the designation of the inspecting Officer. * * Here enter designation of the Examining Officer. †Parts II and III to be forwarded to the excise Officer at the exporting place. 5551949 : Bom. XXV] Bombay Prohibition Act, 1949 FORM C. I. W. V. [See rule 15(1)] Pass for the import of country liquor (On payment of duty in the State of Maharashtra) PART II (To be sent to the Excise Officer of the exporting Place) No ....................... of 19 Shri/M/s. ........................................................................................................ having paid in to the Government Treasury at ......................................................................... the sum of Rs. ....................................................... (Rupees) only on account of duty on the under mentioned description and quantity of country liquor is/are hereby permitted to import the said country liquor from the Distillery at ................................................................... in the district of ......................................................... in the state of ............................................... to his/their wholesale (Trade) licensed premises ........................................................ situated at .......................... Greater Bombay ............................................................................................ in the district of ———————————————————————————————————— Quantity Description of Country Liquor———————————— Strength LitresProof Litres ———————————————————————————————————— ———————————————————————————————————— The consignment shall be conveyed by rail/road, via .............................................. shall be inspected en-route at ........................................ by * ....................................................... and on arrival at the destination shall be examined at ............................................................... by ** ............................................... it shall not be broken in transit. This pass shall remain in force upto the ............................................................... day of .................................................................................. 19 . This pass issued subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made thereunder and the conditions specified in this pass. (Signature) ............................................. Dated .............................................. 19. Collector, ................................District. This pass, together with Part III is forwarded to the Excise Officer ........................................ (Signature) ............................................. Dated ........................................ 19. Collector, ................................. District. *Here enter the designation of the Inspecting Officer. ** Here enter designation of the Examining Officer. 556 Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM C. I. W. V [See rule 15(1)] Pass for the import of country liquor (On payment of duty in the State of Maharashtra) PART III (To be sent to the Excise Officer of the exporting Place) No ....................... of 19 Shri/M/s. ........................................................................................................ having paid in to the Government Treasury at ......................................................................... the sum of Rs. .............................................. (Rupees) only on account of duty on the under mentioned description and quantity of country liquor is/are hereby permitted to import the said country liquor from the Distillery at ................................................................... in the district of ......................................................... in the state of ............................................... to his/their wholesale (Trade) licensed premises No. ................................................................ situated at ............................. Greater Bombay in the district of ———————————————————————————————————— Quantity Description of Country Liquor———————————— Strength LitresProof Litres ———————————————————————————————————— ———————————————————————————————————— The consignment shall be conveyed by rail/road, via .............................................. shall be inspected en-route at ........................................ by * ....................................................... and on arrival at the destination shall be examined at ............................................................... by ** at ............................................... it shall not be broken in transit. This pass shall remain in force upto the ............................................................... day of .................................................................................. 19 . This pass issued subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made thereunder and the conditions specified in this pass. (Signature) ............................................. Dated .............................................. 19. Collector, ................................District. This pass, together with Part III is forwarded to the Excise Officer ........................................(Signature) ............................................. Dated ........................................ 19. Collector, ................................. District. *Here enter the designation of the Inspecting Officer. ** Here enter designation of the Examining Officer. 5571949 : Bom. XXV] Bombay Prohibition Act, 1949 FORM C. I. W. V [See rule 15(1)] Pass for the import of country liquor (On payment of duty in the State of Maharashtra) PART IV (To be handed over to the importer or his agent for presentation to the Excise Officer of the exporting place and on arrival of the consignment at the place of import to Examining Officer.) No ....................... of 19 Shri/Messrs .................................................................................................. having paid in to the Government Treasury at ......................................................................... the sum of Rs. ................................ (Rs. ...............................) only on account of duty on the under mentioned description and quantity of country liquor is/are hereby permitted to import the said country liquor from the Distillery at ................................................................... in the district of ......................................................... in the state of ............................................... to his/their wholesale (Trade) licensed premises No. ............................................. situated at ............................. Greater Bombay in the district of ———————————————————————————————————— Quantity Description of Country Liquor———————————— Strength LitresProof Litres ———————————————————————————————————— ———————————————————————————————————— The consignment shall be conveyed by rail/road, via .............................................. shall be inspected en-route at ......................................... by * ...................................................... and on arrival at the destination shall be examined at ................................................................... by ** ............................................... It shall not be broken in transit. This pass shall remain in force upto the ............................................................... day of .................................................................................. 19 . This pass issued subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made thereunder and the conditions specified in this pass. (Signature) ............................................. Dated .............................................. 19. Collector, ................................District. Remarks if any, of the Officer who inspects the consignment en-roule and copy of the impression of the seal, if any, used in resealing the consignment. *Here enter the designation of the Inspecting Officer. ** Here enter designation of the Examining Officer.