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Application for Licence in form CL-II

for storage and wholesale sale of duty paid country liquor to retail shops

 

(a) Name and address of the applicant and in case of firm or a company the name and address of the partners or Directors, as the case may be  
(b) exact location and full address of the premises where the warehouse shall be located  
(c) whether on the date of the application the applicant for any of his partner / Director holds or has at any time in the past (individually or in partnership with others) held other excise license and if so, the details thereof;  
(d) Proof of solvency of the applicant;  
(e) whether the applicant is in arrears of any excise duty or any other government dues such as sales tax, income tax, etc  
(f) an undertaking that he shall abide, by the conditions of licence and the provisions of the bombay Prohibition Act, 1949 (Bom XXV of 1949) and the rules, regulations and order made thereunder, from time to time.  
(g) Challan Rs 100/-  

 

 

                                                                                                                                                                              

 

                                                                                                  Signature of applicant

 

Date

 

 

Place 

 

To,

   The Commissioner

   State Excise, Maharshtra State,

   Mumbai - 400 023

   (Through : Superintendent of State Excise ...............)