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

What this form is for

Form C.L. XXV is a register that records the samples of country liquor or material drawn for analysis at a country liquor manufactory, warehouse or retail sale shop, including the quantity used, any quantity returned to the bulk, and the analysis result. It is maintained by the licensee, and the officer drawing the sample and the licensee or authorised agent initial each entry whenever a sample is taken. The form is referred to in conditions 5, 11, 13 and 7 of the licences in Forms C.L. I, C.L. II, C.L. III and C.L./F.L./II respectively. It is prescribed under the Maharashtra Country Liquor Rules, 1973, made under the Bombay Prohibition Act, 1949.

Form text (extracted)
5391949 : Bom. XXV]	Bombay Prohibition Act, 1949
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 .........................
*Country Liquor
Account of  samples of———————— taken for analysis
* Material
————————————————————————————————————
Date ofName of*Variety ofBatchQuantity Quantity Quantity if any
drawingOfficerCountry liquorNo. drawn used forreturned to the
sampledrawing *Material	analysismanufactory and
sample	mixed with the
main bulk of
*Country liquor
*Material
1 2 3 4 5 6 7
——————————————————————————————————————————
——————————————————————————————————————————
——————————————————————————————————————————
Amount of Chalan Here stateInitials of the Initials of theRemarks
analysis feeNo. and the result ofsample drawinglicensee or if any
if any paid date analysis when officer his authorised
known	Agent
8 9	10 11 12 13
——————————————————————————————————————————
——————————————————————————————————————————
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.