FORM G

[See rules 22 and 26)]

¹Indian made foreign liquor¹

Application for a pass to export ¹Duty paid Indian made foreign liquor or Duty paid imported foreign liquor¹

Place .........................
Dated ......................

The Collector of

Sir,

I/We ................. of request your to grant me/us a pass for the export of the undermentioned description and quantity of ¹Indian made foreign liquor or Duty paid Indian made foreign liquor or Duty paid imported foreign liquor¹ from *distillery/brewery/bonded warehouse/shop/ house of situated at in the district of in the State of Maharashtra of Mr. /Messrs. of in the district of ..................... in the State of * in bond.

Description of foreign liquor	Name and description of each kind of liquor	Marks and Numbers on each receptacle or package	Quantity of foreign liquor contained in each receptacle or package	Strength of foreign liquor litres	Proof litres	Remarks

I/We furnish the requisite information as follows, namely:

Route by which foreign liquor is to be exported
Name and address of the consignee
Purpose for which foreign liquor is to be exported
Period of validity of the pass required .........................

I/We send herewith a permit No granted by authorising the export of the above foreign liquor to the importing place stated above.

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

Yours faithfully,

(Signature of the Applicant)

* strike off the words which are not applicable.

¹ Subs. by G. N. of 7-7-1971.