Maharashtra Excise Manual
Page 528 of 1109

FORM C.L. XVII

FORM C.L. XVII

[See rules 18 and 31 (3) and condition 9 of the licence in Form C.L., II]

Pass for the transport of duty paid country liquor from the licensed premises of a person holding a wholesale licence to the licensed premises of a licensed retail shop

PART-IV

(To be sent to the Inspector of Prohibition and Excise or Sub-Inspector of Prohibition and Excise, as the case may be of the place to which country liquor is to be transported.)

  1. Serial No. ..
  2. Name and Address of the person transporting the country liquor.
  3. Licence number of the transporter.
  4. Quantity and description of country liquor.
    Kind of country liquor In bulk Quantity in sealed bottles 1or containers1 No. of bottles
    No. of litres 1No. of casks or bottles1 750 ml. 375 ml. 180 ml.
    Country liquor 25 U.P. ..
    Country liquor 40 U.P. ..
  5. Route ..
  6. Name and Address of the person holding a wholesale licence
  7. Number and Date of the indent in Form C.L. XXI by the person holding a licensed Retail shop.
  8. Date upto which the pass shall be valid.

This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949 and the rules made there under authorising the above mentioned transport, subject to the following conditions, namely:

The consignment shall not be broken in transit.

Dated :

Signature of the Wholesale Licensee.