Shri/Smt/Kumari
whose specimen signature appears below holds a* .............. ..................................... permit No date ......................... ____ under rule +... _______ of the Bombay Foreign Liquor Rules, 1953, valid up to ............................................................ for the following quantity offoreign liquor:
Quantity
Specimen signature of the permit-holder ...
Seal of the Collector
Collector of................ _____ .1
Dated........
[Reverse ofForm EL. IX]
Details ofpurchase offoreign liquor
Units of foreign liquor allowed per week:
| Quantity purchased in units |
Progressive (in units) |
Signature of (1) Officer-in-charge of Government depot of (2) a holder of Vendor's licence, or (3) a hotel or club licensee and the name of the depot, shop holdig a vendor's licence, hotel or club, as the case may be |
Remarks |
| Spirits, wine, Permeated Liquors |
|
|
|
| (1) |
(2) |
(3) |
(4) |
- Please specily here the kind of permit.
t Here specify the relevant "rule".
1Deleted by G N. of 8-7-1969.
2Ins. by G. N. of 24-2-1956.
Y-373-105