FORMTD-2

FORMTD-2

(See rule 4)

I/We of in consideration of the Collector of granting to me/us a licence under the Maharashtra Toddy Shops (Licensing) and Toddy Trees (Tapping) Rules, 1968, for the retail sale of Toddy at in the talnka of in the district of for the period commencing on the day of 20 , and ending on the day of 20 , do hereby agree with the Governor of Maharashtra that I/we shall observe all the provisions of the Bombay Prohibition Act, 1949 and the rules, regulations and orders made there under and the conditions written and expressed in the said licence.

Date this day of 20

(Signature of the licensee) Signed in the presence of —

(Signatures of witnesses).

Before me

Superintendent/District Inspector of Prohibition and Excise.

Dated