FORM [IL] 11 [See Rule 30 (i)] Application for licence to sell Indian Liquor/ Foreign Liquor and Beer Affix [ requisite value as per the provisions of the Indian Stamp Act, 1889 from time to time]. 1. Name of the Applicant : 2. Full residential address : 3. Details of Company or partnership firm with registration particulars : 4. The nature of licence required : 5. Details of premises to be licensed for the purpose of business( in the case of occasional license details of Jathra, Shandy, Fair to be stated) : 6. His capacity to invest annually : 7. Solvency of the applicant : 8. His experience in this business, if any : 9. Details of the other licences held by him : 10. Date on which he can commence business : 11. In case of occasional or special licence the period for which licence is required : I hereby declare that the particulars given above are true to the best of my knowledge and belief. If at a later stage any of the facts are found to be false the licence may be cancelled and I my be Prosecuted as per the Andhra Pradesh Excise Act, 1968 or the rules thereunder. I hereby, undertake to abide by the rules and licence conditions prescribed under the Andhra Pradesh Excise Act, 1968.
