FORM W

(See rule 6)

PART I

Pass for the transport-in bond/export-in bond of Indian-made foreign liquor

(For record in the office of the Collector)

No. _______ of 19_____

Shri _________________ having executed a bond for the payment of the amount of duty leviable on the undermentioned kind and quantity of Indian-made foreign liquor is/are permitted to transport/export the said Indian made foreign liquor from the bonded warehouse at _________________ to the Customs Station of _________________ under and subject to the terms of the said bond for dispatch by sea/and air to _________________

Kind of Indian-made foreign liquor	No. and description of each kind of receptacle or package	Quantity of Marks and No. of each receptacle or package	Quantity of Indian-made foreign liquor contained in each receptacle	Alcoholic strength of the Indian-made foreign liquor	Proof litres	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)

This pass shall remain in force upto _________________ p. m. on the _________________ of_______________________________ 19_____

Seal of the Collector

Collector