FORM C. L. A. I

FORM C.L.A.I.

(See rules 23 and 29)

Form of application for a licence to sell Country Liquor by Retail

1. Name, age and address of the applicant.
2. Names, ages and address in full of the partners, if the applicant is partnership firm (copy of the Deed to be appended).
3. The address in full of the premises where the Country Liquor would be sold.
4. Whether the proposed premises referred to at item 3 above are —
   1. Within 50 metres from any educational or religious institution, if they are within the jurisdiction of any Municipal Corporation or 'A' Class or 'B' Class Municipal Council and 100 metres if situated elsewhere.

The rules and provisions referenced include:

• Subs. by G.N. of 26-2-1982.
• Subst. 12-6-1998.
• Deleted by 12-6-98.
• Subs. by 12-6-98.
• Subs. by G.N. 11-5-1989.
• Subs. by 12-6-98.
• Deleted by 12-6-1998.

496   Bombay Prohibition Act, 1949   [1949 : Bom. XXV

1. (iii) Whether the applicant was holding or was granted a licence in Form CL. III for the, retail sale of country liquor but was not operating it on 1st January, 1979 and if so, reason (s) therefor.

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

N. B. : Wilful submission of false information or mis-representation of facts will render the licence, if eventually granted liable for cancellation under section 54 (1) (e) of the Bombay Prohibition Act, 1949.

I/We enclose a Chalan No. ___________________________date_______________________evidencing payment of a sum of Rupees ____________________________(Rupees _______________________________) for the application.

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.

To,

* The Secretary to the Government of Maharashtra,
Home Department, Mantralaya, Bombay 400 032.
(Through the Collector of _____________________________)

† The Collector of __________________________________________

* When application is for grant of a licence.
† When application is for renewal of a licence.

FORM C. L. III

[See rule 24 (1A)]

Licence No. ________________________

Licence for the Retail Sale of Country Liquor

Licence is hereby granted, to Shri /Messrs_______________________________________________________
(hereinafter called "the licensee") authorising him to sell country liquor by retail at his shop situated at ______________________________________more particulary described in the Schedule hereto (hereinafter referred to as "the shop") for the period commencing on _______________________and ending on 31 st _______________________ 20 ___ , under and subject to the provisions of the Bombay Prohibition Act, 1949 and the Maharashtra County Liquor Rules, 1973 and other rules, regulations and orders made under the Act in so far as they relate to the retail sale of country liquor and the following conditions, namely :—

1. Subs. by G. N. of 26-2-1982.