Maharashtra Excise Manual
Register

FORM C.L. XXV

Name of the Country Liquor Manufactory/Warehouse/Retail Sale Shop .............. Account of samples of *Country Liquor/ Material taken for analysis

See conditions 5, 11, 13 and 7 of the licences in from C.L. I, C.L. II, C.L. III and C.L./F.L./II respectively

Form content

FORM C.L. XXV

[See conditions 5, 11, 13 and 7 of the licences in from C.L. I, C.L. II, C.L. III and C.L./F.L./II respectively]

Name of the Country Liquor Manufactory/Warehouse/Retail Sale Shop _________________________________

Account of samples of *Country Liquor / *Material taken for analysis

1
Date of drawing sample
2
Name of Officer drawing sample
3
*Variety of Country liquor *Material
4
Batch No.
5
Quantity drawn
6
Quantity used for analysis
7
Quantity if any returned to the manufactory and mixed with the main bulk of *Country liquor *Material
8
Amount of analysis fee if any paid
9
Chalan No. and date
10
Here state the result of analysis when known
11
Initials of the sample drawing officer
12
Initials of the licensee or his authorised Agent
13
Remarks if any
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