Licence Number of the transporter
Quantity and description of the spirit
| Kind of spirit |
1[Proof liters]1 |
1[Dozen bottles each of 750 millilitres]1 |
1[Dozen bottles each of 500 millilitres]1 |
1[Dozen bottles each of 250 millilitres]1 |
|
(1) |
(2) |
(3) |
(4) |
(5) |
| Rectified Spirit |
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| Absolute Alcohol .. .. |
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Route. .. ..
Place from which rectified spirit is to be transported.
Place to which rectified spirit is to be transported.
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