FORMS.M.RI
(See rule 5)
Licence No ...................
Licence for the sale of Spirituous Medicinal Preparations
Licence is hereby granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made there under to of (herein after referred to as "the licensee ") on payment of a licence fee of Rs authorising him to sell spirituous medicinal preparations at his shop situated at (herein after referred to as "the licensed premises") during the period from to on the following conditions, namely :—