Maharashtra Excise Manual
Page 796 of 1109

FORM ESS

FORM ESS

[See rules 70(1)]

Application No.

Application for an interim 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 Maharashtra,1 if the applicant is not a permanent resident in the 1State of Maharashtra.1
  4. Period of stay; in the 1State of Maharashtra,1 if temporary.
  5. Nationality ..
  6. Place of birth..
  7. Place where brought up ..
  8. Country of domicile ..
  9. Number of passport and the authority which issued it, if the applicant is not a permanent resident in the 1State of Maharashtra1.
  10. Date of arrival in India if the applicant is a temporary resident or is a person falling under section 41 of the Act.
  11. Period of residence or intended residence in India, if the applicant is a temporary resident or a person falling under section 41 of the Act.
  12. Purpose of his visit to India, if the applicant is a temporary resident or a person falling under section 41 of the Act.
  13. Age ..
  14. Occupation ..
  15. Religion ..
  16. Number of units of foreign liquor required per month.