FORM A

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM A (See rule 6) Form of bond to possess and use rectified spirit including absolute alcohol for industrial, medicinal, scientific, 1 [educational and pathological] and other similar purposes in accordance with the provisions of the Bombay Prohibition Act, 1949. Whereas I/we …………………………….……. residing at ……………………………. in ……………………. taluka of the ………………… district have made an application on ………………. to the Collector of …………………….. for a licence authorising me/us to possess and use rectified spirit including absolute alcohol as specified in the said appli- cation from ……………… to ……………or may make any application hereafter for the renewal of the said licence, I/we hereby bind myself / ourselves jointly and severally that I/we shall use rectified spirit including absolure alcohol for the possession and use of which licence has been granted to me/us or may be renewed to me/us, as the case may be, for ………………. Purposes at my/our place ………………. Situated at ……………… in the town of …………………… district in the State of Maharashtra in accordance with the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder and in case of my/our making default in the observance of the provi- sions of the said Act and the rules, regulations and orders made thereunder and the conditions of the said licence, we hereby bind ourselves jointly and severally and each and every one of my/our respective heirs, executors, administrators and representatives to forfeit to the Governor of Maharashtra the sum of Rs. …………….. which shall be recoverable from me/us as arrears of land revenue. Place : Dated this ………………. Day of …………………. 19 . In the presence of - 1. 2. Signature (s) of the Principal (s). We (1) …………..….. (2) …………………. residing at ……..……….. in the ………………. taluka of ……………….. district do hereby declare ourselves sureties for the above named ……………… that he/they shall do and perform all that he/they has/ have undertaken to do and perform and in case of his/their making default therein, I/we hereby bind myself /ourselves jointly and severally to forefit to the 2 [Governor of Maharashtra] the sum of Rs. ……………….. which shall be recoverable from me/us arrears of land revenue. Place : Dated this …………………… day of ………………………. 19 . In the presence of - 1. 1. 2. 2. Signatures of sureties. 1.Subs. by G.N. of 4-11-1968. 2.Subs. by G.N. of 27-7-1963.