I request that I may be granted a tourist's permit for ────────────────────────────────────────
Date ..........
Court Fee Stamp
Signature of the applicant
The Collector of ...
The Prohibition and Excise
Police Officer
[Reverse of Form E LJA-6-A]
(For office use only)
Date of application ─────────────────────────────────
Registration No. ────────────────────────────────────
Permit prepared by .................................... and /issued on ................................................
Received the permit No. ................................................ on ─────────────────────────
Signature of the applicant.
Superintendent of prohibition and Excise ────────────────────
Forwarded to the ─
District Inspector of Prohibition and Excise, ─────────────────────
for disposal.
This is to certify that
Police Officer
1