SCHEDULE

'¹[FORM -A]

Special permit for the possession and use of¹[Medicinal, Scientific, Research, Educational and such other purposes.]

Permit No. ____________________

Permit is hereby granted, under and subject to the provisions of the Bombay Prohibition Act, 1949 (Bom. XXV of 1949), and the rules, regulations and order made there under, to __________________ of __________________ (herein after referred to as the "Permit-holder") authorising him to possess and use __________________ at his premises situated at __________________ during the period from __________________ to __________________ (both days inclusive) subject to the following conditions, namely :—

Conditions

The permit-holder shall not have in his possession __________________ in quanitity exceeding __________________ at any one time.
Unless as otherwise permitted by the Commissioner, the permit-holder shall not obtain __________________ except from a person holding a licence for its/their sale under the Bombay Prohibition Act, 1949.
The permit-holder shall not obtain __________________ in __________________ quantity exceeding __________________ during any calendar month.
The permit-holder shall not use __________________ possessed by him under this permit except for the purpose of __________________
This permit is non-transferable.
In case the permit is suspended or cancelled during its currency or is not renewed on its expiry, the whole stock __________________ in balance with the permit holder on the date of such suspention, cancellation or non-renewal, shall forthwith be surrendered by him to the Collector.
The permit-holder shall comply with all lawful orders issued to him by the Collector or the ²Superintendent [or District Inspector of Prohibition and Excise] ofhis district.
The permit-holder shall abide by the conditions of this permit and the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder and shall give an undertaking to that effect.

Granted this __________________ day of __________________ 19__.

Seal of the Collector ______________________
Collector.

- Here specify the name of the intoxicant mhowra flowers or molasses as the case may be.

1. Ins. by G N. of 10-8-1955. 2. Ins. by G N. of 25-7-1963.

Y-373-114

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SCHEDULE

'1[FORM -A]

Conditions

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'¹[FORM -A]