- Serial Number .. ..
- Name and address of the person transporting the Country Liquor.
- Licence Number of the transporter.
- Quantity and description of Country Liquor
| In Bulk |
No. of litres |
No. of casks of bottles |
750 mL bottles |
375 ml. bottles |
180 ml. bottles |
| Country Liquor 25 U.P. |
... |
|
|
|
|
| Country Liquor 40 U.P. |
.. |
|
|
|
|
- Route .. ..
- Name and address of the persons holding a retail or wholesale licence.
- Number and date of the indent in Form C.L. XXI appended to the Maharashtra Country Liquor Rules, 1973 by the person holding a licensed Retail Shop.
- Date up to 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, regulations and orders made there under authorising the abovementioned transport subject to the following condition, namely:
The consignment shall not be broken in transit.
Dated Signature of the wholesale licensee.
Y-373-74