FORM R.S. IV
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/R.S. VI or R.S. VI A
PART II
[To be sent to the person holding a sale licence or Warehouse Officer or Distillery Officer from whom the rectified spirit is to be purchased]
- Serial Number
- Name and address of the person transporting the rectified spirit (including absolute alcohol).
- Licence Number of the transporter.
- Quantity and description of the spirit.
Kind of spirit 2[Dozen bottles each of 750 litres]2 2[Dozen bottles each of 500 milliliters]2 2[Dozen bottles each of 250 milliliters]2 Pass Fee Special Fee Total Fee Rs. P. Rs. P. Rs. P. Rs. P. Rs. P. Rs. P. Rectified Spirit: Absolute Alcohol - 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.