FORM No. N-III
[See rule 15(4)]
Return showing the Receipts and Sales of Neera at the Retail Sale Centre
No. .............................................. at ................................................ in the Taluka
in the District ........................................................................................................
during the month .............................19..
NAME OF THE N-III LICENSEE
Quantity of Neera Received
| Month and Year | 1 ml. Pass or Note Nos. | Name of the supply Centre | Quantity of Neera sold 1 ml. |
Quantity of Neera destroyed 1 ml. |
|---|---|---|---|---|
| (1) | (2) | (3) | (4) |
Articles manufactured from Neera
| Quantity of Neera used for manufacture of Gur and other articles | Gur Kg. g |
Sugar Kg. g |
Sweets Kg. g |
Rub (Sugar syrup) Kg. g |
Signature of the licensee or his Authorised Servant |
|---|---|---|---|---|---|
| (5) | (6) | (7) |