1[FORM F. L.

/A-IB]
(See rule 24)
Form of application for a vendor’s licence for sale of foreign liquor.
1. Name, age and addresses of the applicant.
2. Names, age and addresses in full of the partners,
if the applicant is a partnership firm (copy of the
Deed to be appended).
3. Exact location and full address of the premises
where the business will be conducted.
4. Whether the proposed premises referred to at
item 3 above are-
(a) Within 50 meters from any educational
or religious institution if they are within
the jurisdiction of any Municipal Corpo-
-ration or ‘A’ Class or ‘B’ Class Munici-
-pal Council and 100 meters if situated
elsewhere, and
(b) Within 50 meters from any bus stand,
station or depot of the Maharashtra
State Road Transport Corporation.
5. Where the applicant or any member of his family
(or any of the Partners) holds on the date of this
application or held at any time the past (individually or in partnership with any other
person) any excise licence(s) held and also the period(s) for which he held it (them).
Explanation: - For the purpose of this clause, “Family” means a person or his spouse (or
more than one spouse) and his children solely dependent on him for their maintenance.
6. Whether the applicant holds the solvency certificate or bank solvency certificate or
bank guarantee. If so, given particulars with copy there of duly certified by Notaries,
Special Executive Magistrates or Tahsildars.
7. Present occupation and income here form
8. Whether the applicant has is in arrears of excise or any other Government dues.
9. Whether the applicant has experience of conducting liquor trade and if so, state
details with documentary evidence in support.
10. Whether the applicant belongs to any of the following categories, and if so, produce
proof in support –
(i) Whether the applicant belongs to economically weaker section
(ii) Whether the applicant has in his possession ready premises for the proposed
shop of if so, detail thereof.
(iii) Whether the applicant was holding or was granted a licence in Form F.L.II for
retail sale of foreign liquor but was not operating on 1st January 1979 and if so, state
reasons therefore.

I/We hereby declare that the particulars given above are correct.
I/We hereby enclose a Chalan No. ………………………………… dated ……………
evidencing payment of a sum of Rupees.............................................. (Rupees ……………...
……………………………………………..) for the application.
 I/We hereby undertake to bide by the conditions of the licence and the provisions of
the Bombay Prohibition Act, 1949, and rules, regulations and orders made thereunder from
time to time.
I/We hereby further undertake to surrender the licence and agree to its cancellation,
if considered necessary by the Government if it found at a subsequent stage that the
information furnished by me / us is false.

Signature of the applicant

Date ……………………

Signed before me

Notaries / Special Executive Magistrate / Tahsildar

To,
* The Secretary to the Government of Maharashtra
Home Department (Transport,) Mantralaya, Bombay 400 032
(Through the Collector of ……………………)

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+ The Collector of ……………………………………………………………..

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* When the application is for a grant of licence.
+ When the application is for renewal of the licence.
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