Maharashtra Excise Manual
Page 255 of 1109

FORM RS. IV

FORM RS. IV

PART D

Pass of the transport of rectified spirit (including absolute alcohol) from the licensed premises of a person holding a sale licence or from a Government warehouse or distillery 1[or any licensed distillery or warehouse]1 to the licensed premises of a licensee holding a licence in Form R.S. II 1[R.S. VI. or R.S. VI A]1

[To be handed over to the applicant for sending with the consignment]

  1. Serial Number
  2. Name and address of the person transporting the rectified spirit (including absolute alcohol).
  3. Licence Number of the transporter.
  4. 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 :
    Absolute Alcohol
  5. Route.
  6. Name and address of the person holding a sale licence or Government warehouse or distillery
  7. Number and date of the requisition order
  8. The purpose for which rectified spirit is to be transported.
  9. 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.