Quantity and description of the spirit
| 2[Dozen bottles]2 |
2[Dozen bottles]2 |
2[Dozen bottles]2 |
Amount of fees paid |
| Kind of spirit |
2[Proof litres]2 |
each of 750 milliliters |
each of 500 milliliters |
each of 250 milliliters |
Pass Fee |
Special Fee |
Total Fee |
| Rs. P. |
Rs. P. |
Rs. P. |
| Rectified Spirit : |
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| Absolute Alcohol |
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Route.
Name and address of the person holding a sale licence or Government warehouse or distillery
Number and date of the requisition order
The purpose for which rectified spirit is to be transported.
Date upto which the pass shall be valid.
This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules made there under authorising the above-mentioned transport, subject to the following condition, namely:-
The consignment shall not be broken in transit.
Dated:
Signature of the Officer issuing the pass.
Designation
Seal of the Officer issuing the pass
Rectified Spirit/Absolute Alcohol supplied on
Signature of the person holding a sale licence or of the Warehouse Distillery Officer.
-These particulars are not to be given in the case of transport of rectified spirit by a person holding a licence in Form R.S. II, incidental to its purchase from person holding a sale licence in Form R.S. VI.