FORM OF APPLICATION
The Collector; District
Sir;
I the undersigned residing at desire—
1(1) to tap the neera-producing trees described in the schedule hereto and draw neera therefrom—1
- (a) for the manufacture of gur or any other article which is not an intoxicant;
- (b) for the supply of neera —
- (i) to person manufacturing gur or any other article which is not an intoxicant from neera; or
- (ii) to person licensed to sell neera by retail for consumption on premises;
- (c) for domestic consumption.
(2) to sell neera for consumption on premises and accordingly apply for the necessary licence.
22. Number of members in my household who drink neera are—2
3. I hereby undertake to use the neera for the above mentioned purposes.
SCHEDULE
| No. and kind of trees to be tapped | Situation of trees to be tapped | Owner's t[Proprietor's name and signature in token of his consent to the trees being tapped]t | Remarks |
|---|---|---|---|
| (1) | (2) | (3) | (4) |
*[Retain only that which is necessary and cancel the remaining items.]*
Place:
Signature of the Applicant
Date: