FORM C.L.XIV
[See rule 15(1)]
Pass for the import of country liquor
(On payment of duty in the State of Maharashtra)
(To be sent to the Excise Officer of the exporting Place)
No ...................... of 20 .
Shri/M/s. ...... .... .......___ ............ .... having paid into the Government Treasmy 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 Distilleiy at in the district of....----- .... .......... .... .................. .... .... in the state of .....___________ .... ............ to his/their wholesale (Trade) licensed premises ........................... situated at Greater Bombay in the district of
| Description of Country Liquor | Strength | Quantity | |
|---|---|---|---|
| Litres | Proof Litres | ||
The consignment shall be conveyed by rail/road, via ..... ............... shall be inspected en-route at by * .... .......................................... and on airival 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 20・
This pass issued subject to the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made there under and the conditions specified in this pass.
(Signature). ........................................... Dated ........................ Collectoi; ..... ___________ District
this pass, together with Part HI is forwarded to the Excise Officer
(Signature)
Dated .... ......... Collectoi; District
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