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FORM – A
APPLICATION FOR GRANT OF GROUP PERMIT FOR FOREIGN LIQUOR
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(See condition 1 of the Government Order, Home Department No. GG/137/2006/VDR/2006/ 2952/E.1,
dated the 21 DEC. 2006 )
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To,
The Superintendent of Prohibition and Excise, |
……………………………… District
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I, ……………………………………………………………………(here mention the name and designation of the Organization/ Institution / Government body ) apply for the grant of Group Permit for Foreign Liquor in accordance with the Government in Home Department No. GG/137/2006/VDR/2006/ 2952/E.1, dated the 21st DEC.2006 and furnish the following particulars for the same :
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Name and address of Organization / Institution/Government body (in block letters ) |
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Name, Address and Designation of the authorized person of such Organization / Institution/Government body (in block letters ) |
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Venue, purpose and other details of the National, International Convention, Conference, Business meet or Academic meet |
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Date, time and duration of the event |
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Letter of Authority for organizing such Conference/Convention/Business meet or Academic meet (attach proof ) |
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Number of persons attending such Conference/Convention/Business meet or Academic meet |
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List of persons with and the particulars in the following proforma |
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| Sr. No. |
Name of person |
Residence address |
Age |
Nationality |
Date of arrival |
Date of Departure |
Remarks |
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(8)
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Place where the stock of foreign liquor shall be stored and the place where the foreign liquor to be served to the participants attending the conference, convention etc.
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I/We hereby declare that the particulars given above are correct and do hereby undertake to abide by the conditions specified in Group Permit for Foreign Liquor and the provisions of the Bombay Prohibition Act, 1949 and the rules, regulations, orders made there under.
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Signature of Applicant
Name and Designation Of Organization, Institution or Government body
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| Encl |
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