Maharashtra Excise Manual
Part II - Rules, Regulations › Foreign Liquor
Page 640 of 1109
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Page 640 of 1109

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I declare that the above particulars are true and correctly stated. I apply for leave to clear the above potable liquor for the purpose stated in column 17 above.

Plae:
Date:

(Signature of the licensee or his authorised agent)

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