FORM C.L. XXI
[See rule 31(2)]
Original
Duplicate
Triplicate
[See rule 31(2)]
Original
Duplicate
Triplicate
(1) Name of the licensee. .................. Indent No. ....................
(2) Location of the shop .................. Licence No. ....................
The Country Liquor Wholesale Licensee
Sir,
Please supply .................. bulk litres of country liquor in the following receptacles:
| Serial No. | Variety of country liquor | Strength | No. of bottles and other receptacles 750 ml. 375 ml. 180 ml. 200 B.L. B.L. B.L. |
|||||
|---|---|---|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
| Total No. | ||||||||
| Quantity in Bulk Litres | ||||||||
Signature of the Retail Sale Shop Licensee or his Authorised Agent
15 days of full content access — every Act, Rule, Regulation, GR, notification and Ex-DC-authored guide. No card required.
पूर्ण मजकूर पाहण्यासाठी साइन इन करा