FORM EL.XII

[See rule 83(10)]

Licence No.

Licence for the dispensing of brandy and rum as one of the ingredients of any medicine on prescription

Licence is hereby granted under and subject to the provisions of the Bombay Prohibition Act, 1949 (Bom. XXV of 1949), and the rules, regulations and orders made there under to _______________ of _______________ (herein after referred to as "the licensee") on payment of a licence fee of Rs _______________ authorising him to dispense brandy or rum as one of the ingredients of a medicine at his shop/dispensary situated at _______________ (herein after referred to as "the licensed premises") during the period from _______________ to _______________ on the following conditions, namely:

Conditions

(a) The licensee shall not keep in his possession any quantity exceeding _______________ of brandy and rum, each at any one time.

(b) The licensee shall not purchase more than _______________ quart bottles of brandy or rum, each during any calendar month.
The licensee shall not keep or dispense brandy or rum at any place other than the licensee premises. ¹[He shall not prescribe or dispense brandy or rum except as one of the ingredients of the medicine]¹.
The licensee shall not keep in the licensed premises any intoxicants which he is not authorised to dispense under this licence or any other licence granted under any law for the time being in force.
This licensee shall keep affixed to the licensed premises a signboard showing the name of the licensed premises.
The licensee shall display the licence at a conspicuous place in the licensed premises.
The licensee, his heirs, legal representatives or assignees shall have no claim whatsoever to the continuance or renewal of this licence after expiry of the period for which it is granted. It shall be entirely within the discretion of the Collector to permit or not the assignee of the licensee in case of sale or transfer or the heir or legal representative of the licensee, in case of death, to have the benefit of the licence for the unexpired portion of the term for which it is granted.
This licence may be suspended or cancelled in accordance with the provisions of section 54 or 56 of the said Act.
In case this licence is suspended or cancelled during the currency of the licence period or is not renewed on its expiry, the licensee shall forthwith surrender to the Collector the whole stock of unsold brandy and rum remaining in balance with him on

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