FORM R L.X-A
[See rule 70-A(2)]
Tourist's Permit No.
Townsi % permit to possess consume, use and buyforeign liquor forpersonal consumption
MrTMrsJMiss. ..........................
(herein after called "the permit-holdeF) residing permanently at ........___ ... and temporarily at ........................................................ is hereby granted a permit under and subject to he provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made there under, authorising him/her to buy, possess, transport, use and consume, foreign liquor within the State of Maharashtra, during the period from ....................—............... to ........................................... (both days inclusive) subject to the following conditions, namely:—