FORM E-4

9¨É½þÉ®úɹ]Åõ ¶ÉɺÉxÉ ®úÉVÉ{ÉjÉ +ºÉÉvÉÉ®úhÉ ¦ÉÉMÉ SÉÉ®ú-¤É, ¨ÉÉSÉÇ 31, 2022/SÉèjÉ 10, ¶ÉEäò 1944 5. Whether the applicant holds at present or held at any time in the past any licence for the sale of foreign liquor including mild liquor or wine and if so, the period during which it was held. 6. Whether the rack or shelf of wine to be kept on display has adequate mechanism to be kept securely locked whenever required. 7. Whether the rack or shelf has been denoted to be situated at the rear side corner of the Super Market or Walk-in Store. 8. Proof of solvency of the applicant. 9. Whether any Excise/Police/Municipal Licence held by the applicant was suspended or cancelled at any time in past, and if so, the period of such suspension or cancellation and the reason thereof. 10. Whether the applicant is in arrears of excise duty or in arrears of any other Government dues, such as Sales Tax, Income Tax, etc. I, hereby declare that the particulars given above are correct. I, hereby undertake to abide by the conditions of the licence and the provisions of the Maharashtra Prohibition Act, 1949, and the rules, regulations and orders made there under from time to time. Date : Signature of the Applicant. To, The Superintendent, State Excise ……….……”. “ FORM E-4 [See sub-rule (2) of rule 7] Lic. No. ……………………….. Licence for sale of wine in a single rack or shelf in the Super Market or Walk-in- Store premises of a Licence is hereby granted under and subject to the provision of the Maharashtra Prohibition Act (XXV of 1949) and the rules, regulations and orders made thereunder to ………………..…………………..(hereinafter called “the licensee”) on recovery of a fee and a deposit as prescribed under rule 7 authorising him to sell wine in sealed bottles during the period from ……………………… at his […………….] situated at, subject to the following conditions, namely :— (1) The licensee shall not sale any wine which has not been legally obtained either from the holder of BRL winery licence in the State or from the FL-I. or FL/W-I licence issued under the Bombay Foreign Liquor Rules, 1953. 10 ¨É½þÉ®úɹ]Åõ ¶ÉɺÉxÉ ®úÉVÉ{ÉjÉ +ºÉÉvÉÉ®úhÉ ¦ÉÉMÉ SÉÉ®ú-¤É, ¨ÉÉSÉÇ 31, 2022/SÉèjÉ 10, ¶ÉEäò 1944 (2) The licensee shall not sale wine in the premises which has not been duly approved by the Superintendent. The licensee shall also ensure that no board, sign or advertisements is displayed at the entrance, outside or within the Super Market or Walk-in- Store soliciting the sale of wine. (3) The licensee shall not sale wine except to the person holding permit in Form FLX-C issued under rule 70D of the Bombay Foreign Liquor Rules, 1953. (4) (a) The licensee shall given immediate information to the nearest Police Officer on duty of every person visiting his licensed premises, whom he suspects to have committed an offence under the Act and of every act committed there attending to disturb the public peace. (b) The licensee shall maintain a separate cash memo book, for the sale of Wine and shall maintain proper accounts as may be prescribed by the Commissioner and such cash memo books and accounts shall always be open to inspection by any officer duly empowered under section 122 of the Act. (5) The licensee shall furnish such information in connection with his business under the licence as may be required by the Commissioner or Superintendent, State Excise from time to time. (6) The licensee shall comply with all lawful orders and instructions issued by the State Excise Officer not lower in rank than a Sub-Inspector of State Excise. (7) This licence may be suspended or cancelled in accordance with the provisions of section 54 or 56 of the Maharashtra Prohibition Act. (8) In case, this licence is cancelled or suspended during the currency of the licence period or is not renewed on its expiry, the licensee shall surrender the whole stock of unsold wine forthwith to the Superintendent, State Excise. The stock of wine so surrendered shall be sold by the Excise Officer and the proceeds of the sale shall after deducting the expenses and sum due to the State Government be returned to the licensee. Granted this the………………………. day of ……………………..20 Place : Superintendent, State Excise ................”. By order and in the name of the Governor of Maharashtra, YUVRAJ B. AJETRAO, Deputy Secretary to Government. ON BEHALF OF GOVERNMENT PRINTING, STATIONERY AND PUBLICATION, PRINTED AND PUBLISHED BY DIRECTOR, RUPENDRA DINESH MORE, PRINTED AT GOVERNMENT CENTRAL PRESS, 21-A, NETAJI SUBHASH ROAD, CHARNI ROAD, MUMBAI 400 004 AND PUBLISHED AT DIRECTORATE OF GOVERNMENT PRINTING, STATIONERY AND PUBLICATIONS, 21-A, NETAJI SUBHASH ROAD, CHARNI ROAD, MUMBAI 400 004. EDITOR : DIRECTOR, RUPENDRA DINESH MORE.