Maharashtra Excise Manual
Page 792 of 1109

FORM E.L./A-5

FORM E.L./A-5

[See rule 69(2)]

Application No.

Application for a Visitor's Permit to possess and use Foreign Liquor for personal consumption

  1. Name in full (surname first in BLOCK letters).
  2. Permanent address
  3. Temporary address in the 1State of Maharashtra1.
  4. Date of arrival in the State of Maharashtra.
  5. From where arrived and by which train/boat/air service.
  6. Period of temporary stay in the 1State of Maharashtra1.
  7. Proposed date of departure and place to which proceeding.
  8. Dates and durations of previous visits to 1Maharashtra State1 during the last twelve months.
  9. Nationality.
  10. State/Country of domicile.
  11. Age
  12. Occupation.
  13. Quantity of foreign liquor required
  14. Period for which the permit is required.
  15. If there is Prohibition in the State/Country where the applicant resides, he should state whether he holds there any permit to possess and consume foreign liquor, the nature of permit and the monthly quantity of foreign liquor allowed there under.