FORM S.R 2

I request that a pass under the Maharashtra Spirituous Preparations (Import and Export) Rules, 1963, for the export of the spirituous preparations referred to above may please be granted to me.

(- Strike out whichever is not applicable)

Place................... .......

Date ...................

Signature of the applicant.

The Collector of. ...... ..... ...........----------- .......... ............------------ .........

FORM S.R 2

(See rule 16)

PART I

(lb be retained on the recon/ of the office of the Collector or the officer granting the pass)

Pass for the export of spirituous preparation

Dated ..........................

1. Name and address of the exporter...
2. Kind of licence or permit held by the exporter and its No.
3. Quantity and name of spirituous preparation to be exported.
4. Name and address of the person to whom spirituous preparation is to be exported.
5. Place to which spirituous preparation is to be exported.
6. Place from which spirituous preparation is to be exported.
7. Route (State also the place up to which removal of spirituous preparation will be by road during its transit in the State of Maharashtra).
8. Period for which this pass shall be valid.

This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and order made there under and subject to the following conditions, namely