प्रशासन व आस्थापना

[or wine or both.] 6.Details of Earnest Money Deposit deposited equi- valent to annual licence fee of one year (Pay Order/D.D.), Name of the Bank and date. 7.Whether any excise/police/municipal licence held by the applicant was suspended or cancelled at any time in the past, and if so, the period of such suspension or cancellation and the reasons therefor. 8.Whether the applicant is in excise arrears or in arrears of any other Government dues such as dues under the Land Revenue Code, Sales Tax, Income Tax, etc. 9.Proof of solvency of the applicant. I hereby declare that the particulars given above are correct. I hereby undertake to abide by the conditions of the licence and the provisions of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder from time to time. Signature of the applicant Date : To, The Collector of ........................................... 1Inserted by 19-8-2004. 2Sub. by 14-8-2006.