FORM BR-Q
[See rule 8 (5)]
FOIL
(To be kept on Manufactory Officer's record)
Requisition for issue of spirit from the spirit room for the fortification of wine.
Requisition No....................................... of 19 ・
The Manufactory Officer,
Sir,
Please issue.............................. litres of Rectified spirit/
absolute brandy
alcohol/
for the fortification of wine.
Spirit required
| (1) Month and date | (2) Quantity in litres | (3) Strength Proof | (4) Alcoholic content | (5) Variety of wine to be fortified | (6) Quantity of each Variety of wine to be fortified | (7) Remarks |
|---|---|---|---|---|---|---|
| Litres Litres | ||||||
*Retain which is required.
Signature of licensee or his
Date: authorised agent.
Quantity issued on
Manufactory Officer.