FORM F. L. /A-IC

FORM F.L./A-IC

[See Rules 44]

Form of application for a licence for the sale at a hotel or restaurant of imported foreign liquor (Potable) and Indian-made foreign liquors (potable) on which excise duty has been paid.

1. Name, and address of the applicant.
2. Names and address in full of the partners if any.
3. Name of the hotel or restaurant and its address in full, i.e. its exact location and the total number of rooms it has.
4. ²[3A. Whether the hotel or restaurant is situated within a distance of seventy-five meters from any educational or religious institution or form any bus stand, station or depot of the Maharashtra State Road Transport Corporation, or from the boundary of any National or State Highway [Please refer to explanation under, sub rule (1C) of rule 45 of the Bombay Foreign Liquor Rules, 1953, for the definitions of educational institutions, religious institutions and the manner of measuring the distance from the hotel or restaurant to these places].
5. Whether the hotel or restaurant holds on the date of this application or held at any time in the past any hotel or restaurant licence for the sale of foreign liquor, and if so, the period during which it was held.
6. Average number of residents/boarders or visitors, as the case may be, during the last one year immediately before the date of the application.
7. The details of the total accommodation of the hotel or restaurant and the amenities provided therein.
8. The grade, if any, in which the hotel or restaurant is classified, and the authority for the such classification, if any.
9. 7-A [* *]
10. Proof of solvency of the applicant.
11. Whether any excise Police/ municipal licence held by the applicant is or was suspended at

¹ Ins. by G. N. of 17-1-1973.
² Ins. by G. N. of 5-1-1990.
³ Ins. by G. N. of 28-12-2001.

10. Whether any excise/police/municipal licence held by the applicant is or was cancelled at any time in the past, and if so, the reasons for such cancellation.
11. Whether the applicant is in excise arrears 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 Bombay Prohibition Act, 1949 and the rules, regulations and orders made thereunder from time to time.

Date: ___________

To

The Collector of _________________________________________________________________