(Reverse of the Licence)
Details of denatured spirit purchased in the month
1[N. B.— 1 bottle=650 mililitres]1
| Date | Quantity purchased On the date | Progressive total for each calendar month | Retailer or wholesaler or manufacturer | Licence No. and address | Name Signature of the licensee or his authorised nokar. |
|---|---|---|---|---|---|
FORM B
[See rule 26 (5)]
Form of Bond to be executed before licence is granted to possess and use ordinary denatured spirit for medical, scientific and educational purposes or for purposes of art, industry or profession.
Whereas I/we, residing at in 2taluka/tahsil2 of the district have made an application on ..................................................... to the Superintendent of State Excise, for a licence authorising me/us to possess and use denatured spirit as specified in the said application form I/we hereby bind myself/ourselves jointly and severally that I/we shall possess and use ordinary denatured spirit for the possession and use of which licence has been granted or renewed to me/us for purposes at my/our situated at