FORM EL./A-1

1949: Bom.XXVI Maharashtra Prohibition Act 783

FORM EL./A-1

[See rule 63(/)]

Application No.

Application for a permit to possess and use foreign liquor for personal consumption by temporary resident

1. Name in full Mr/Mrs./Miss ..
2. (Surname first in block letters)
3. Residential address in full ..
4. Nationality ..
5. Place of birth ..
6. Place where brought up ..
7. *6. Country of domicile ..
8. Number of the passport and the authority which issued it.
9. Age
10. Occupation ..
11. Monthly income ..
12. Whether the applicant had applied for any permit in the past and if so, when and to whom.
13. Whether any member of the applicant's family has applied for foreign liquor permit/s. If so, details of each application/s should be given.
14. Number of units of foreign liquor required per month.
15. The date of arrival in India. ..
16. The period of residence or intended residence in India.

I hereby declare that—

1. (a) I was born and brought up in/domiciled in...................... +;
2. (b) I am ordinarily using or consuming foreign liquor;
3. (c) I have been residing and intend to reside in India, temporarily;
4. (d) I have a fixed and settled purpose of making my sole and permanent home in + which is outside India;
5. (e) Foreign liquor is being generally used or consumed in+......................... where I was born and brought up or domiciled;
6. (f) I do not hold any permit under Sections 40, 40A, 41, 46 or 47 of the Act nor have I made any other application for a permit under any of these sections;

^* Quote registration number and the office of registration under the Registration of Foreigners Act, if the applicant is registered under the said Act.

⁺ State the names of the Country.

1 Ins. by 30-7-2008.

Y-373-103