FORM V
[See rule 8 (3)]
Distillers declaration of wash made
I hereby declare that the undermentioned wash has been prepared this day in the .........................----- - Distillery.......................................... :
| Number of wash-back | Description | Water Quantity Litre | Spent wash Litres | Total wash prepared | Original specific gravity | Remarks |
|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |