Maharashtra Excise Manual
Part II - Rules, Regulations › Foreign Liquor
Page 805 of 1109
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Page 805 of 1109

JFORME LJM.C-D1

  1. Age and date of birth

  2. Particulars of proof of age produced with the application

  3. Occupation

    ♦[I hereby declare that I require mild liquor for the preservation and maintenance of my health.]♦

    I sumbit herewith the medical certificate in Form F. L. M. C.-2 signed by Dn Registered Medical Practitioner, in support ofmy application.

    I hereby undertake to abide by the conditions of the permit and the provisions of the Bombay Prohibition Act, 1949 and rules, regulations and orders made there under.

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