CERTIFICATE
[See rule 13(2)]
No................... Dated....................
.................. who has/have been granted transport Pass
No................... ................. dated.................. ----by..................
the beer/ wine as shown below on
to of in the District
of
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
|---|---|---|---|---|---|---|
| Variety of beer / wine | Number contained in each (ml.) | Quantity litres | Total litres | Strength | Proof | Remarks |
and that the seals on the packages and receptacles containing the above beer/wine were intact at the time of delivery of the consignment at it destination.
Signature and Designation of the Officer at the destination place]