FORM C. I. W. VI

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM C. I. W. VI (Condition 3 of licence in form C. I. W. II) FORM OF NOKARNAMA Name of the licensee ........................................................................................................ Licence No. .................................................................................................................................................. Location of the licensed premises ........................................................................ ............................ 1.Subject to the provisions of the Maharashtra Country Liquor (Import and sale by Wholesale) Rules, 1974, Name ................................ Age ...................1/We ............................................................. Residential Address ....................................licensee of the abovenamed shop hereby authorise the servant named and for the Appointment from the .................................period mentioned in the margin to officiate 19 to the .......................................... 19.for me/us in respect of the following functions that is to say namely : (a)to officiate for me/us at our wholesale shop at .......................................................... and (b)to transport country liquor. 2.The said person is competent in my/our absence to counduct my/our abovementioned duties in accordance with the provisions of the said rules.He is of a good character; and as far as I/We know, he has not been convicted of any offence under the Bombay Prohibition Act, 1949, nor has been convicted by criminal Court or Black listed in respect of excise licence, rendering him unfit for appointment as Nokar. 3.I/We have explained to him personally all the conditions of my/our licence and I/We hold myself/ourselves responsible personally for any offence he may commit in the conduct of the business under my/our licence. 4.The Nokarnama shall become invalid if it is issued to person below 21 years of age and on the suspensions, cancellation or expiry of my/our licence or if a competent officer refuses countersignatures thereon.This Nokarnama will also become invalid, if the Superintendent concerned issues order to that effect.This Nokarnama shall be kept with the employees. Dated ...................... 19 . ............................................ Signature of the licensee. The sum of Re. 1 only as the fee prescribed for the issue of this Nokarnama has been paid vide chalan No. ............................................................. dated .............................................. Dated .................................... 19. ........................................................ Signature of the licensee. 1.The appointment of the abovenamed Nokar is noted. 2.The Nokarnama shall be in operation till the ............................................... 19 but it is liable to cancellation for any breach, on the part of the nominee, of the Bombay Prohibition Act, 1949 or for any other offence rendering him unfit to hold the appointment hereby made. .................................................. Dated .................................. 19 . Signature and Designation of Prohibition and Excise Officer.