FORM D.S.R-3-A
Name of denatured spirituous preparations ........................... Form of licence ............................
Name and address of the licensee ............................. No. of licence ...................................
Register of accounts of denatured spirituous preparations purchased and sold by the wholesale licensee / retail licensee during the month of ................... 19 .
| (1) Date |
(2) Opening balance |
(3) Quantity purchased from the licenced manufacture |
(4) Quantity purchased from the wholesale licensee |
(5) Quantity imported |
(6) Name of the manufacturer, wholesale, etc, from whom the denatured spirituous preparations shown in column 3 to 5 are purchased and his licence No. and Address |
||
|---|---|---|---|---|---|---|---|
| Litres | Bottles | Litres | Bottles | Litres | Bottles | Litres | Bottles |
| (7) No. and date of import pass under which import incidental to the purchase of the denatured spirituous preparations showing columns 3 to 5 is made |
(8) Total of columns 2 to 5 |
(9) D.S.P. 2 1[*licensee]1 |
(10) D.S.P. 3 1[*licensee]1 |
(11) Other persons |
(12) *Quantity exported |
(13) Name and address of the licensee, etc. to whom sold or exported and the No. of his licence, if any |
(14) Total of columns 9 to 12 |
(15) Closing balance |
(16) Remarks |
||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Litres | Bottles | Litres | Bottles | Litres | Bottles | Litres | Bottles | Name No. Address | Litres | Bottles | Litres | Bottles | |
* Not applicable to retail licensee.