FORM D.S.R-3-B

Name of denatured spirituous preparations: Form of licence D.S.R

Licence No. ..............

Name and address of the licensee

Date	Name and address of the persons to whom denatured spiritous preparation is sold and the No. of his licence, if any	Quantity sold	Signature of the licensee or his authorised nokar	Remarks
(1)	(2)	(3)	(4)	(5)

Name Address No. of licence, if any		Litres Bottles
Day's total sales

FORM D.S.R-3-C

Name of denatured spirituous preparations ........................... Form of Licence

No. of licence ..................................

Name and address of the licensee

Monthly return of the denatured spirituous preparations purchased and sold by the wholesale licensee/retail licensee during the month of................... 19 .

Name of the denatured spirituous preparation	Opening balance of the 1st day of the month	Quantity purchased during the month from licensed manufacture	Quantity purchased during the month from a wholesale licensed	Quantity imported during the month	Total of columns 2 to 5
(1)	(2)	(3)	(4)	(5)	(6)
	Litres Bottles	Litres Bottles	Litres Bottles	Litres Bottles	Litres Bottles

Quantity sold to —

D. S. P. 2 (Licensee*)	D. S. P. 3 (Licensee*)	Other Persons	Quantity exported	Total of columns 7 to 10	Opening balance on the last day of the month	Remarks
(7)	(8)	(9)	(10)	(11)	(12)	(13)
Litres. Bottles	Litres. Bottles	Litres. Bottles	Litres. Bottles	Litres. Bottles	Litres. Bottles	Litres Bottles

* Not applicable to retail licensee.

1 Subs. by G.N. of 2.2.1966

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