FORM S.W III—contd.

FORM S.W III—contd.

PART V

Pass for transport of sacramental wine

(To be forwarded to the inspector of Prohibition and Excise at the place of destination)

1. Serial No.
2. Name and Address of the licensee from whom the sacramental wine is to be transported.
3. Quantity of sacramental wine to be transported.
4. No. of authorisation licence held by the consignee.
5. Name and Address of the consignee.
6. Route.

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:

1. The consignment shall not be broken in transit.
2. This pass will remain in force upto..................................................... 20

Date ..................... Signature and Designation of the Officer issuing the pass.

Seal of the Officer issuing the pass

Verified the consignment on 20

Signature of the Excise Inspector at the place of destination.

1 Substituted by G.O.N. No. 25-7-1963
Subs. by G.N. No. 25-7-1963.