(To be printed below Form D. S. Ill and to be detachable there from)
CERTIFICATE
This is to certify that _____________ of _____________ holds a permit in Form D. S. Ill No _____________ dated _____________ under rule 25(2) of the Bombay Denatured Spirit Rules, 1959, valid upto _____________ for the following quantity of ordinary denatured spirit
Quantity _____________
Seal _____________
'[Inspector of state Excise]
Dated _____________
FORM D.S. IV
[See rule 26 (3)]
Licence No _____________
Licence for the possession transport and use of ordinary denatured spirit for bona fide medical, scientific and educational purposes.
Licence is hereby granted, under and subject to the provisions of the Bombay Prohibition Act, 1949 (Bom. XXV of 1949), and the rules, regulations and orders made there under to _____________ of _____________ (herein after referred to as "the licensee") on payment of a fee of _____________ authorising him to buy, transport, possess and use ordinary denatured spirit (herein after referred to as "spirit") for bonafide — medical, scientific and educational purposes, during the period from _____________ to _____________ (both days inclusive) at his premises situated at _____________ (herein after referred to as the "licensed premises") subject to the following conditions, namely
Conditions
- The licensee shall keep all the spirit received by him in a secure place in the licensed premises under lock and key and all issues of spirit from the said premises shall be made in the presence of the licence-holder or a person duly authorised by him in writing in this behalf He shall not keep or use spirit at any place other than the licensed premises.
♦ Strike off whichever is unnecessary.
1 Substituted by Government Notification dated 18-8-2008
Subs. by G.N. of 18-8-2008.