FORM S. M. P. II

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORMS. M. P. II (See rule 13) Licence No. .............................. Licence to Registered Medical Practitioners and Persons-in-charge of Hospitals or dispensaries for dispensing Spirituous Medicinal Preparations Licence is hereby granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder to . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (hereinafter referred to as “ medical practitioner” person-in-charge) on payment of a licence fee 1 [of . . . . . . . . . . . . . . . . . .] authorising him to dispense spirituous medicinal preparation at his dispensary, the hospital or dispensary situated at . . . . . . . . . . . . . . . .(hereinafter referred to as “the licensed premises”) during the period from . . . . . . . . . . . . . . . to . . . . . . . . . . . . . . . subject to the following conditions, namely :— 1.The medicinal practitioner/person-in-charge shall not keep in the licensed pre- mises any intoxicants which he is not authorised to dispense or keep. 2.This licence may be suspended or cancelled in accordance with the provisions of section 54 or 56 of the said Act. Date : Seal of the Collector Collector of . . . . . . . . . . . . . . . . . . . . . 1.Subs. by G. N. of 2-4-1959.