FORMTD-5

[See rule 17(2)]

Tree Tapping Permit

Permission is hereby granted under and subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made there under, to Shri/Sarvashree of holder of licence No for the sale of toddy at authorising him/them to tap and draw toddy from the toddy-producing trees mentioned below:

Kind and number of trees to be tapped.
Survey No.
Block No.
Village
Taluka
District
Name of the Owners
Amount of duty paid for each kind of trees.
Challan No. and Date

Date:

Seal

Signature of the Superintendent/District Inspector or Prohibition and Excise.