FORM "CERTIFICATE"
(See rule 6)
Dated ..........
Certified that Shri/Shrimati/Kumari/Messrs who has/have been granted an import pass No dated ........... by has/have been issued spirituous preparation from the premises of of as shown below:—
| Name of the spirituous preparation | Number and description of each kind of receptacle or package | Marks and Nos. on packages or receptacles | Quantity contained in each receptacle or package | Strength |
|---|---|---|---|---|
and that the receptacle and packages containing the said spirituous preparation are securely packed in my presence and sealed with my official seal.
Signature and designation of the Excise Officer at the exporting place.
Place ..........
FORM S.R/A-2
(See rule 15)
Application for a pass to export spirituous preparations
- Name and address of the applicant
- The description of spirituous preparation to be exported—
- (a) Name of the spirituous preparation (together with the name of the manufacturer)
- (b) Quantity
- (c) Alcoholic strength of the spirituous preparation.