FORM F.L. / A.E.O

FORM F.L. / A.E.O.

[See rule 25AA (1)]

Application for upgradation of licence in Form F.L.II to a vendor Elite outlet.

Details Required:

1. Name, age and address of the applicant licensee.
2. Names, age and addresses in full of the partners, if the applicant is a partnership firm (copy of the Deed to be appended)
3. 1. Exact location and full address of the current premises of the applicants valid licence in form F.L. II.
   2. Exact location and full address of the Proposed premises.
   3. If applicant is requesting for upgradation by way of extension of area adjacent and in continuation to the approved premises of the licence ?
      
      or
   4. If applicant is requesting for upgradation by way of shifting its licence in Form F.L. II under rule 25AA(1) ?
   5. Carpet Area of the Proposed premises (in Sq. Meter) (Area shall be more than 70 Square meter and less than 601 Square Meter)
   6. Is construction of Proposed premises is authorised ? (Attach valid Proof).
   7. Whether any excise licence held by applicant was cancelled anytime in the past, and if so, the reasons for such cancellation
   8. Whether applicant is in arrears of excise or any other Government dues.

4. Whether the proposed premises referred to at item 3 above are-
   1. Within 50 meters from any educational or religious institution or statue of National Personality if they are within the jurisdiction of any Municipal Corporation or 'A' Class or 'B' Class Municipal Council and 100 meters if situated elsewhere,
   2. Within 50 meters from any Bus stand, station, or depot of the Maharashtra State Road Transport Corporation.
   3. Free from Highway restriction as per rules or time-to-time orders/instruction from the State Government.

I/We hereby declare that the particulars given above are correct.

I/We hereby enclose a chalan No.___________________ dated ___________ evidencing payment of sum of Rupees ___________/- (Rupees ___________________________in words) for the application.

I/We hereby undertake to abide by the conditions of the primary licence in Form F.L.II and the form of its upgradation and the provisions of Maharashtra Prohibition Act, and rules, regulation and orders made thereunder from time to time.

I/ We hereby further undertake to surrender the primary licence in form F.L.II along with the form of upgradation provided under sub-rule (4) of rule 25AA and agree to its cancellation, if considered necessary by the Government or granting authority if it found at a subsequent stage that information furnished by me/us is false.

Signed before me,
Notaries/ Special Executive Signature
of the Magistrate /Tahsildar.

To,

The Collector,......District

Form F.L.II /E. O.

[See rule 25 AA (4)]

[To be attached with Primary licence in form F.L.II granted under rule 25(1)]

Upgradation No.......of ......

Form Upgradation of Licence in form F.L.II granted under rule 25(1), for retail sell of Foreign Liquor in sealed bottles at premises having area more than 70 Sq. Meter but less than 601 Sq. meter for off consumption.