FORM M—CERTIFICATE-2M
[See rule 1(3)]
Dated ___________________
Certified that Mr/Mrs/Miss/Messrs _________________ of _________________ who has/have been granted an import pass No _________________ dated _________________, _________________ by _________________ has/have been issued Indian made foreign liquor from the Distillery/Brewery/Bonded Warehouse at _________________ in the district of _________________ as shown below:
| (1) Description of Indian made foreign liquor | (2) Number and description of each kind of receptacle | (3) Marks and Numbers on packages or packages | (4) Capacity of each receptacle or package | (5) Actual contents Litres | (6) Thermometer Indication | (7) Hydrometer Indication | (8) Strength | (9) Proof litres |
|---|---|---|---|---|---|---|---|---|
and that the receptacle and packages containing the said Indian made foreign liquor are securely packed in my presence and sealed with my official seal.
Place: _________________ Signature and designation of the Excise Officer at the exporting place.