FORM RL., X
[See rule 20(1)]
ORIGINAL
DUPLICATE
TRIPLICATE
Application No. _________________ of 20_________
Application for clearance of potable liquor 1[on payment of duty or under bond]1
Manufactory of _________________________________________________________________
| No. and date of entry in the register in Form P.L., VIII | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Description of potable liquor | Batch of Manufactory No. | Variety of liquor | No. of bottles Litres |
||||||
| 750 ml. |
375 ml. |
180 ml. |
|||||||
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) |
| Description of potable liquor | |||||||
|---|---|---|---|---|---|---|---|
| Strength | Proof litres | Marks and number of containers | Amount of duty paid | Rate of duty | Amount of duty paid | Chalan No. and date | |
| Purpose for which cleared | Remark | ||||||
| (11) | (12) | (13) | (14) | (15) | (16) | (17) | (18) |
1 Subs. by G.N. of 18-5-1974.
* Here mention boules or vessels of any other capacity allowed by the Commissioner to be filled in.