(To be handed over to the licensee to accompany the consignment and to be kept by the consignee for his record.)
This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules made there under authorising the transport subject to the following conditions, namely:
Signature and Designation of the Officer issuing the pass.
Seal of the Officer issuing the pass
Received the above quantity on.......................................................... 20
Signature of the consignee.
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