FORM D.S.XXV
[See rule 30 (i)]
D. S. I Licence No
Name and address of the Licensee.
Period of the Licence ..........
Monthly return furnished by the Licensee
| Opening balance denatured spirit on the first day of the month | Quantity of denatured spirit received | Total of columns 1 and 2 | Quantity used on the last day of the month | Closing balance | Remarks, if any and initials of the licensee |
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 |
| Litres | Litres | Litres | Litres | Litres |
Date Signature of the Licensee.
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