FORMTR

(See Rule 3)

PART-II

To be handed over to the transporter

No.................................. Dated

Name and address of the transporter and his agent, if any.

Description of articles to be transported

Quantity and strength (if any) of the articles to be transported.

Number and description of each vessel, receptacle or package containing the articles.

Name and address of the Consignor ..

Name and address of the Consignee

Route (here indicate the places of entry in and exit from the State of Maharashtra with at least two important towns enroute).

Mode(s) of conveyance used for transport withVbhicle/sNo.

Date and time at which the validity of pass expires (here state the last date and time by which the article should be out of State's boundary).

This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the Maharashtra Through Transport Rules, 1997, made there under authorising the transport of the articles mentioned above, subject to the condition that the articles shall not

transport.

SEAL:

Signature and designation of the officer issuing the pass.

PLACE:

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