The fee for the grant of a special pass in the form prescribed under rule 1 shall be Re.1.
SCHEDULE
Special pass for the import/export/transport of *intoxicants/hemp/mhowra/flowers/molasses
PART I —For record of the Officer issuing the pass.
| No. - Dated 20 |
| 1. |
Name and address of the *importer/exporter/transporter. |
| 2. |
Licence or permit No. held by the *importer/exporter/transporter and its date. |
| 3. |
Quantity of intoxicant/hemp/mhowra/flowers/molasses to be *imported/exported/transported. |
| 4. |
Place from which *intoxicant/hemp/mhowra/flowers/molasses *is/are to be imported/exported/transported. |
| 5. |
Place to which *intoxicants/hemp/mhowra/flowers/molasses *is/are to be *imported/exported/transported. |
| 6. |
Route. |
| 7. |
Purpose for which *intoxicants/hemp/mhowra/flowers/molasses *is/are to be *imported/exported/transported. |
| 8. |
Name of consignor/consignee and his full address. |
| 9. |
Date upto which the pass shall be valid. |
This pass is granted under and subject to the provisions of the Bombay prohibition Act, 1949 (Bom. XXV of 1949), and the rules, regulations and orders made there under authorising the above *import/export/transport of *intoxicants/hemp/mhowra/flowers/molasses subject to the following conditions, namely:
- The whole quantity of * intoxicants/hemp/mhowra/flowers/molasses shall be *imported/exported/transported in one consignment only and its bulk shall not be broken in transit
- The pass-holder shall give an undertaking in writing to the officer issuing the pass to abide by the above conditions.
Seal
Signature and designation of the officer issuing the pass.
*Strike off whichever is not applicable.