Maharashtra Excise Manual
Page 302 of 1109

FORMA

FORMA

(Rule 3)

(GC.A.)

Licence No.

Licence for the purchase, possession or use of liquor for the manufacture of medicinal and toilet preparation

Licence is hereby granted under and subject to the provisions of the Bombay Prohibition Act, 1949 (Bom. XXV of 1949), and the rules, regulations and orders made there under to ___________ of _____________ (herein after called "the licensee") on payment of Rs _____________ in advance, authorising him to purchase, possess or use the liquor(s) specified below during the period from _____________ to _____________ at his premises situated at _____________ (herein after referred to as "the licensed premises"), subject to the following conditions, namely:—

Liquors

  1. The licensee shall not use the said liquor(s) for any purpose except for the manufacture of *
    1. The licensee shall not transport the said liquor(s) unless it is covered by a pass in Form B.
    2. The licensee shall not purchase the said liquor(s) in any one month exceeding _____________ bulk gallon/quart bottles in the aggregate.
    3. The licensee shall not purchase the liquor except from _____________‡
  3. The licensee shall not have in his possession more than _____________ bulk gallons/quarts of the said liquor(s) in the aggregate at any one time.
  4. The licensee shall comply with all lawful orders of the Commissioner, Collector, Superintendent of Prohibition and Excise or the Local Inspector of Prohibition and Excise.
  5. In case the licensee is suspended or cancelled during its currency or is not renewed on its expiry, the licensee shall forthwith surrender the whole of the unsold stock of the said liquor(s) to the Collector.
  6. This licence may be suspended or cancelled in accordance with the provisions of the sections 54 and 56 of the Bombay Prohibition Act, 1949.

Granted this __________ day of __________ 20__

Seal of the

Collector ________________________

Collector

* Here state the names of liquors permitted to be used.

† Here state the names of medicinal or toilet preparation for the manufacture of which liquor(s) is/are allowed.

‡ Here state the names and address of person from whom liquor is to be purchased.