FORM C.L.XV

FORM C.L.XV

[See rule 15(1)]

Pass for the import of country liquor

(On payment of duty in the State of Maharashtra)

PART I

For record in the Office of Collector..................... District

No.................. of 20

Shri/M/s ................................................. ..................... having paid into the Government Treasury at ...................................... the sum of Rs (Rupees) only on account of duty on the under mentioned description and quantity of country liquor is/are hereby permitted to import the said country liquor from the Distillery at in the district of ...... in the state of.................................... to his/their wholesale (Trade) licensed premises situated a .................... Greater Bombay in the district of

The consignment shall be conveyed by rail/road, via..................... ......................shall be inspected en-route at by^* and on arrival at the destination shall be examined at — ....------ ......— by ^** at it shall not be broken in transit

This pass shall remain in force upto the day of

This pass issued subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made thereunder and the conditions specified in this pass.

Dated the day of-------------------------------------- 20

(Signature) ...........------- ...-------- .....

Collector ..... ..................

^†

(Signature)....

Dated ............. :............... Collector ........... District

- Here enter the designation of the Inspecting Officer.

-** Here enter designation of the Examining Officer.

^†