Licensed shop No. district of in the State of to his/their House No. bonded warehouse situated at in Greater Bombay the District of
| Description of Indian-made foreign liquor | Quantity Litres | Strength (to be specified in case of spirits only) proof litres |
|---|---|---|
The consignment shall be conveyed by rail/road via shall be inspected en route at by* and on arrival at the destination shall be examined at by+ it shall not be broken in transit.
This pass shall remain in force upto p.m. of the day of 19
This pass is issued subject to the provisions of the Bombay prohibition Act, 1949 the rules and orders made there under and the conditions specified in this pass.
(Signature)
Dated 19 Collector
his pass, together with Part II is forwarded to the Excise Officer of
(Signature)
Dated 19 Collector.
* Here enter the designation of the inspecting officer.
+ Here enter the designation of the examining officer.
FORM F
[See rule 11 (1)(5)]
Pass for the import of Indian-made foreign liquor
(On payment of duty in the State of Maharashtra)
PART IV
(To be handed over to the importer or his agent for presentation to the Excise Officer of the exporting place and on arrival of the consignment at the place of import to the examining officer)