SCHEDULE

SCHEDULE

Special pass for the import/export/transport of intoxicants/hemp/mhowra/flowers/molasses

PART III—To be forwarded to the Chief Excise Authority at the place from/to which the intoxicants/hemp/mhowra flowers/molasses is/are to be imported/exported/transported.

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 intoxicants/hemp/mhowra/flowers/molasses to be imported/exported/transported.
4. Place from which intoxicants/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 thereunder authorising the above import/export/transport of intoxicants/hemp/mhowra/flowers/molasses subject to the following conditions, namely:

1. 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.
2. 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 inapplicable.