APPLICATION FORM FOR BONDED WAREHOUSE OF BOTTLING PLANT LICENCE To, The Excise Commissioner Rajasthan Through the District Excise Officer. Dated ................................. Application of M/s .............................................................................................. for carrying on business at................................................................... for himself. The undersigned ................................................................... have registered office at .........................................beg to apply for a license to establish and run a bonded ware house of bottling plant:- (1) The storage of bottled liquor .............................for ..............................: (2) Storage of bulb liquor and its bottling and issue or bottled liquor under bond or on payment of duty under Sec. 17(d) of the Rajasthan Excise Act. 1950. (2-A) The applicant wishes to does not wish to carry out blending operations. (3) The plan of the building is enclosed in duplicate showing details of stores. bottling. compound and office rooms for approval. The applicant undertakes to erect building and to make all necessary structural or other alternations and additions to the building and premises, which the Excise Commissioner, may from time to time direct, and in all respect to confirm to the (Excise Commissioner's) directions as to the maintenance of the premises and building in a proper state in regard both the repairs and conditions of the building and premises and their sanitation and suitability for the purpose of the Bonded Warehouse of bottling plant under the rules in that behalf, for the time being in force. (4) The applicant undertakes to comply in all respects with: (a) The provisions of the Rajasthan Excise Act and rules made and instructions issued there under applicable to the bonded warehouse of bottling plant. (b) The conditions which may be entered in the license applied for . (5) A certificate from the Civil Surgeon or District Medical Officer of Health to the effect that there is no objection on sanitary grounds to the carrying on the business of a bonded warehouse of beetling plant in the locality, premises and the building proposed is attached. (6) The applicant is ready and willing to deposit the sum of Rs (Rupees only) as security for the due performance by them of each and all of the requirements of the Act and rules and the conditions of the license. (7) In the event of license being granted the applicant proposes to commence working the bonded warehouse of bottling plant. Dated : Place : APPLI CANT