FORM-A

FORM-A

(See rules 4 and 10)

Application for pass to import duty-paid imported foreign liquor Indian-made foreign liquor

Place
Date

The Collector of

¹[I/We]¹................................................................ of.....................................................................

holding licence/permit No valid up to __________________ ..... under the Bombay Prohibition Act, 1949, for possession and/or sale of duty-paid imported and/or Indian-made foreign liquor, ¹[request you to grant me/us a pass for the]¹ import of the undermentioned kind and quantity of duty-paid imported foreign liquor Indian-made foreign liquor from the shop/house distillery brewery warehouse ............................................. situated at in the district of ............................................. in the State of to my/our shop or house No. situated at in Greater Bombay of bonded warehouse the District ............___ .... in bond/ on payment of duty in the State of Maharashtra.

I/we furnish the requisite information as follows, namely:—

1. Route by which foreign liquor is to be imported
2. Name and address of my/our agent, if any, at the exporting place
3. Purpose for which foreign liquor is to be imported
4. Period of validity of the pass required