*[FORMTD-3A]

(See rule 14)

Pass for the transport of toddy from the center to the licensed shop

Date

Time

Name of the licensee
Name of the transporter

Name and situation of the transit Centre from where toddy is to be transported.

Name, number and address of the shop to which the toddy is to be transported.

Number of vessels or bottles in which toddy is to be transported.

Time when the toddy was drawn

Capacity of each vessel or bottle

Total quantity of toddy to be transported (in liters.)

Conveyance by which the toddy is to be transported. Registration No. of the vehicle if transported by a truck or lorry.

Route

This pass is granted under and subject to the provisions of the Maharashtra Toddy Shops (Licensing) and Toddy Trees (Tapping) Rules, 1968, and it shall be valid for 12 hours from the hours of issue.

Seal of the licensee

Signature of the licensee or his authorised agent.

Note:- Original (to be kept with the consignment). Duplicate to be kept on record.

1. Ins. by G N. of 31-12-1970.

Y-373-26

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