FORM F.L./A-9

[See rule 94-B]

Application for a pass for transport of foreign liquor within the State of Maharashtra

(1) Name and address of the applicant
(2) Kind of licence/permit held by the applicant and its number and date and by whom granted.

(3) Quantity and description of foreign liquor to be transported.

Kind of foreign liquor	Imperial proof gallons	Dozen quarts	Dozen pints	Dozen nips	Amount of fee paid Transport Rs.	Special Rs.	Total Rs.
(i) Superior spirits
(ii) Cheap spirits
(iii) Wines
(iv) Fermented liquors

(4) (a) The amount of fees paid, if any,

(b) Name of the treasury in which paid and its chalan number and date.

(5) Place to which foreign liquor is to be transported.

(6) Route

(7) Purpose for which foreign liquor is to be transported.

(8) Name and address of the place from which foreign liquor is to be transported.

(9) Kind of licence held in respect of the premises from which foreign liquor is to be transported and its number and date.

(10) Period within which foreign liquor will be transported.

I request that a transport pass for the transport of the above mentioned quantity of foreign liquor may be issued to me.

I hereby undertake to abide by the conditions of the transport pass and the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder.

Signature of the applicant

The Collector of

Through the District Prohibition and Excise Officer

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