Maharashtra Excise Manual
Transport Pass

FORM C. L. XXI

Intendent the supply of country liquor to retail shop

See rule 31(2)

What this form is for

Form C.L. XXI is an indent form used to request a supply of country liquor, specified by variety, strength and receptacle size, from a wholesale licensee for a retail shop. It is filled in by the retail country liquor licensee or an authorised agent, who addresses it to the Country Liquor Wholesale Licensee whenever the shop needs fresh stock. The wholesale licensee then records the quantity issued against the indent, along with the Transport Pass details, and returns a copy to the retailer. The form is prescribed under rule 31(2) of the Maharashtra Country Liquor Rules, 1973.

Form text (extracted)
532	Bombay Prohibition Act, 1949 [1949 : Bom. XXV
FORM C.  L.  XXI
[See rule 31(2)]
Original
Duplicate
Triplicate
Intendent the supply of country liquor to retail shop
(1)Name of the licensee.................................................Indent No. ............................
(2)Location of the shop ...............................................Date ........................................
(3)Licence No. ...............................................
To,
The Country Liquor Wholesale Licensee
..........................................................
..........................................................
Sir,
Please  supply .........................................................bulk litres of country liquor in the
Following receptacles :—
——————————————————————————————————————————
No. of bottles and other receptacles
SerialVariety of country ————————————————————————
No. liquor    Strength750 375 180 200	* *
ml. ml. ml. B.L. B.L. B.L.
(1) (2) (3) (4) (5) (6) (7) (8) (9)
——————————————————————————————————————————
——————————————————————————————————————————
Total No.
——————————————————————————————————————————
Quantity in Bulk Litres
——————————————————————————————————————————
Signature of the Retail Sale Shop
Licensee or his Authorised Agent.

5331949 : Bom. XXV]	Bombay Prohibition Act, 1949
FORM  C. L. XXI — contd.
The following quantity against the above indent has been  issued  under Transport  Pass
No. ........................................................................................dated the..........................................
———————————————————————————————————————
No. of bottles and other receptacles
SerialVariety of country ————————————————————————
No. liquor    Strength750 375 180 200	* *
ml. ml. ml. B.L. B.L. B.L.
(1) (2) (3) (4) (5) (6) (7) (8) (9)
——————————————————————————————————————————
——————————————————————————————————————————
Total No.
——————————————————————————————————————————
Quantity in Bulk Litres
——————————————————————————————————————————
Dated ............................................Signature of the Wholesale Licensee or his
Authorised Agent.
——————————————————————————————————————————
*Here mention the bottles or receptacles of any other capacity allowed to be filled in
by the 
1
[Commissioner.]
Note  —  (1)Original of this is to kept by the indenting licensee.
(2)Duplicate and Triplicate to be sent to Wholcsale Licensee.
(3)The Wholesale licensee to fill in both the copies and return duplicate to
the Retail Sale Shop Licensee and retain Triplicate on his record.
1Added  by G. N. of 20-6-1977.
———————————————————————————————————————
Original PDF (as scanned from printed manual)
This is a page from the printed 2023 Excise Manual containing the form. It may include manual page headers/footers.