FORM [IL.4-A] [See Rule 11 (2)] Application for approval of label to be pasted on the stocks for Export outside Andhra Pradesh 1. Name of the Applicant : 2. Full Address : 3. Details of license held : 4. If the applicant is partnership firm or company details thereof : 5. Name of Distillery/Brewery the applicant is the Distillery/Brewery : 6. Full address of Distillery/Brewery : 7. The permission for approval of the label is applied for (mention the brand name) : 8. Name of the brand, size of the bottle : 9. Previous approval of the same label by the Commissioner of Excise with reference number and date (When submitted for re-approval) : Signature of Applicant 1. Ins. by G.O.Ms. 817, Rev. (E), dt. 27-8-1987 (w.e.f 1-10-1987) 2. Subs. by G.O.Ms. 531, Rev. (Ex. III), dt 6-6-1994. 3. Added by G.O.Ms. 817, Rev. (Ex-III-2), dt 18-3-1991, (w.e.f 22-8-1989)
