I/we ........... ........ ... ............ ............................................ Licensee of the
Name: ...................................___ ............ above named shop, hereby authorise the
Age: servant named and for the period mentioned,
Residential address: in the margin to officiate for me/us in respect
Appointed from the to of the following functions that is to say :
the 19
- (a) to officiate for me/us at my/our retail sale toddy shop at
- (b) to tap toddy producing trees in the tapping area at mentioned in my/our tapping permit; or
- (c) to issue transport passes for transport of today from the tapping area at to my/our licensed shop at ...................................................................................... ；or
- (d) to transport toddy from to
2. The said person is competent in my/our absence to conduct my/our above mentioned duties in accordance with the provisions of the said rules. He is of good character and as far as I/we know, he has not been convicted of any ofience under the Bombay Prohibition Act. 1949, nor has he been convicted by a Criminal Court or blacklisted in respect ofexcise licences, rendering him unfit for appointment as a NOKAR.
3. I/we have explained to him personally all the conditions of my/our licence; and I/we hold mysel^ourselves responsible personally for any offences he may commit in the conduct of the business under my/our licence.
4. This authority shall become invalid on the suspension, cancellation or expiry of my/our licence or if a competent officer refuses countersignature thereon. This NOKARNAMA will also become invalid if the Superintendent of Prohibition and Excise concerned issues order to that effect. This NOKARNAMA shall be kept with the employee.
Date: 19 Signature of the licensee.
The sum ofRe. 1 only as the fee prescribed for the issue of this NOKARNAMA has been paid vide Challan No dated
Date: ...................................... 19 Signature of the licensee.
1. The appointment of the above named NOKAR is approved.
2 The NOKARNAMA shall be in operation till the ・：.................... 19 but it is liable to cancellation for any breach, on the part of the nominee, of the Bombay Prohibition Act, 1949 or for any other offence rendering him unfit to hold the appointment hereby made.
Date: ....................................... 19 Signature and designation of Prohibition and Excise Officer,