FORM EL. VII
1[&& rules 67(2)]
Emergency Permit No.
Emergency Permit to possess liquor for medicinal use on emergent occasions
Shri/Shrimati/Kumari ................................................................................. residingat ..................... ............ ....(herein after called the 'Permit-holder') having paid a fee of only is hereby granted a permit, under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made there under authorising him/her to buy, transport, possess, use or consume * (herein after called "the liquor") for medicinal use during the period from .... . ...._ to .............. __________ at his/her premises situated at....................... ....................... and also at any other place within the 2[State of Maharashtra], subject to the following conditions, namely: