FORM No. 1

[See rule 18]

Requisition for rectified spirit or absolute alcohol

Part I

(To be sent to the person holding a sale licence or to the Warehouse Officer or Distillery Officer from whom the rectified spirit is to be purchased)

Place ..............................
Date ..............................................

Messrs ............................................ ......................................

The Warehouse — Officer,
Distillery

Sir(s),

Please supply me/us with ¹litres/bottles of * millilitres each¹ of rectified spirit/ absolute alcohol for ¹sale licence¹ purposes.

The number of my rectified spirit ¹possession licence/bottling licence¹ issued by the Collector of ........................... is ...................................

Yours faithfully,

Signature of the purchaser.

Countersigned.
Inspector of Prohibition and Excise Date. .............................. No ................................

Seal of the Officer Countersigning the requisition.

Part II

Rectified spirit/absolute alcohol supplied on ....................................

Quantity supplied ....................................

Signature of the person holding a sale licence or of The Warehouse officer, Distillery ........................................................