FORM A

FORM A

(Rule 3)

Licence for the Purchase, Possession or Use of Liquor for the Manufacture of Medicinal and Toilet Preparation

Licence No. ______

Licence is hereby granted under and subject to the provisions of the Bombay Prohibition Act, 1949 (Bom. XXV of 1949), and the rules, regulations and orders made thereunder to ______ of ______ (hereinafter called "the licensee") on payment of Rs. ______ in advance, authorising him to purchase, possess or use the liquor(s) specified below during the period from ______ to ______ at his premises situated at ______ (hereinafter referred to as "the licensed premises"), subject to the following conditions, namely:—

Liquors: ______

Conditions

1. The licensee shall not use the said liquor(s) for any purpose except for the manufacture of *______.
2. The licensee shall not transport the said liquor(s) unless it is covered by a pass in Form B.
3. The licensee shall not purchase the said liquor(s) in any one month exceeding ______ bulk gallons / quart bottles in the aggregate.
4. The licensee shall not purchase the liquor except from ‡ ______.
5. The licensee shall not have in his possession more than ______ bulk gallons / quarts of the said liquor(s) in the aggregate at any one time.
6. The licensee shall comply with all lawful orders of the Commissioner, Collector, Superintendent of Prohibition and Excise or the Local Inspector of Prohibition and Excise.
7. In case the licence is suspended or cancelled during its currency or is not renewed on its expiry, the licensee shall forthwith surrender the whole of the unsold stock of the said liquor(s) to the Collector.
8. This licence may be suspended or cancelled in accordance with the provisions of sections 54 and 56 of the Bombay Prohibition Act, 1949.

Granted this ______ day of ______ 20 ______.

Seal of the Collector                                       Collector of ______

* Here state the names of medicinal or toilet preparation for the manufacture of which liquor(s) is/are allowed. † Here state the names of liquors permitted to be used. ‡ Here state the names and address of person from whom liquor is to be purchased.