Name of the toilet preparation ......................................................................................
Date (1) |
Opening balance (2) |
Quantity received (3) |
From whom received (4) |
Total [Columns (2) and (3)] (5) |
Quantity sold (6) |
To whom sold (7) |
Closing balance (8) |
Signature of the licensee (9) |
Remarks (10) |
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[See rule 9(1-A)]
Monthly return of spirituous toilet preparations received and sold during the month ............................ 20 __
Name of the licensee ........................................................................................................
Address ........................................................................................................................
S. M. R III Licence No. ................................................................................................
Name of spirituous toilet preparation (1) |
Opening balance on the 1st day of the month (2) |
Quantity received during the month (3) |
Total [Columns (2) and (3)] (4) |
Quantity sold during the month (5) |
Closing balance on the 1st day of the month (6) |
Signature of the licensee (7) |
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1 Added, by G.N. of 14-7-1962.