FORM RL. I.

FORM RL. I.

[See rule 17(17)]

ORIGINAL

(To be sent to the Distillery Officer)

Indent for spirit for manufacture of potable liquor

Name of manufactory:

Indent No. _____ of 20_____

The Distillery Officer,

Sir;

Please issue _____ litres of spirit for the manufacture of potable liquor in my/our manufactory.

I/We shall pay duty at the tariff rate on all wastages in excess of the prescribed allowance.

Signature of licensee or his authorised agent. ________________

Licence No. ________________

Countersignature of the Manufactory Officer. ________________