FORM D.S. XVIII
[See rule 18(3)]
D. S. I Licence No
Name of the Licensee
Period of the Licence....
Register of issues of denatured spirit to shops or manufactactories for bonded Warehouse
| Description of denatured Spirit | Date of presentation of requisition of Bonded Warehouse | Serial Number | Number of pass | Date of pass | Place at which the shop is situated |
|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) | (5) |
| Licensed shop to which the spirit is to be transferred | Route to be taken | Spirit actually contained in each cask | Number of each cask | Registered capacity of each cask | Temperature |
|---|---|---|---|---|---|
| (6) | (7) | (8) | (9) | (10) | (11) |
| Indication Bulk litres | Strength Proof litres | Vat from which drawn | Date and hour when the spirit was issued | Remarks, if any, and initials the officer-in-charge of the warehouse and licensee | |
|---|---|---|---|---|---|
| (12) | (13) | (14) | (15) | (16) | (17) |
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