FORMS.R1
[See rule 5(1)]
PART H
(To be sent by post to the Excise officer at the exporting place)
Pass for the import of spirituous preparation
Dated ...........................
Shri/Shrimati/Kumari/Messrs
of is/are hereby authorised
to import the undermentioned quantity of spirituous preparation from
of in the district of
in the State of to his/her/their premises at
........................ in the district of
in the State of Maharashtra for the purpose of
Name and quantity of spirituous preparation
| Number and description of each kind of receptacle of package | Name of the spirituous preparation | Quantity contained in each receptacle or package | Strength |
|---|---|---|---|
| B.L. P. L. |
Conditions
The consignment shall be conveyed by rail and/or road to its destination direct, via shall be inspected en route at by and on arrival at the destination shall be examined at...................................... by ........ .... It shall not be broken in transit.
This pass shall remain in force up to ..... ............... ajnJp.m. of ............... 20 .
This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made there under and the conditions specified above.
Seal of the Collector or the Officer issuing the pass
Collector...________ ........
officer issuing the pass.