FORM-B

I/We agree to abide by the provisions of the Bombay Prohibition Act, 1949, the rules, regulations and orders made there under, and the conditions on which the pass may be issued to me/us.

Yours faithfully,

(Signature of the applicant).

♦Strike off the words which is not applicable

FORM-B

(see rule 5)

Counterfoil

Pass for the import of duty-paid imported foreign liquor

PART-I

Dated __________

is/are hereby authorised to import the undermentioned description and quantity of duty paid imported foreign liquor fi*om .... of.... in the district of in the State of to his/ their premises at in the district of in the State of Maharashtra for the purpose of

Kind and quantity of foreign liquor