Maharashtra Excise Manual
Certificate

FORM V

Distiller’s declaration of wash made

See rule 8 (3)

What this form is for

FORM V is a certificate recording the distiller's declaration that a batch of wash has been prepared in the distillery on a given day, noting the materials used, the quantities of water and spent wash added, the total wash prepared and its original specific gravity. It is signed by the Chemist and Supervisor of the Process Section of the distillery, who files it each time wash is made. It is authorised by rule 8 (3) of the Maharashtra Distillation of Spirit and Manufacture of Potable Liquor Rules, 1966.

Form text (extracted)
608	Bombay Prohibition Act, 1949 [1949 : Bom. XXV
FORM  V
[See rule 8 (3)]
Distiller’s declaration of wash made
I hereby declare that the undermentioned wash has been prepared this day in the
............................................................... Distillery .......................................... :
——————————————————————————————————————————
Material used WaterSpent Total
Number—————————— Litreswash wash Original Remarks
of wash-DescriptionQuantity Litresprepared specific
back	Litre gravity
1 2 3 4 5 6 7 8
——————————————————————————————————————————
——————————————————————————————————————————
Dated this day of 19.
Chemist and Supervisor,
Process Section.
——————————————————————————————————————————
FORM  VI
[See rule 9 (1) and 10 (1)]
Notice to remove wash or spirits
I hereby give notice that I propose to remove wash/spirit as follows :
——————————————————————————————————————————
Name and number of Name and number of
Date and hour of removalvessel from which still or vat to be Remarks
to be removed removed to
1 2 3 4
——————————————————————————————————————————
——————————————————————————————————————————
(At least one hour’s notice to be given in each case.)
Dated this day of 19.
Distillery Manager.
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.