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No.
FORM - I
PART C7
I. Application for getting permission from Government for
Establishment of Distillery
1. (a) Name and Address of the Applicant
b) Name and Address of the undertaking
c) Whether Public/Private Ltd. or Proprietory concern
2. Capital Structure
a) In case of Ltd. company :
i) Authorised
ii) Issued
iii) Paid up
iv) Borrowings, if any
b) In case of others
i) Capital
ii) Borrowings, if any
c) Fixed Assets (in Rs.)
i) Land
ii) Buildings
iii) Plant & Machinery
iv) Others, if any
Total
d) Working Capital
3. Location
4. Plant & Machinery (in Rs.)
i) Value of Plant & Machinery to be imported or of
imported origin per year
ii) Value of Plant & Machinery of Indigenous origin
5. Raw Materials required for production
i) Quantity and value of raw material to be imported or
of imported origin per year
ii) Quantity and value of raw material indigenous origin
per year
iii) Quantity and value of the molasses and alcohol if
any required per year in the manufacture of
fortification of the liquor proposed for manufacture
iv) Whether it is proposed to manufacture or produce
the alcohol / Molasses from private sources without
the aid of the Government.
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6. Water and Power requirements
i) Particulars of requirements
ii) Whether necessary permission has been secured
7. Process :
a) Brief Process of Manufacture
b) Standard and quality of products proposed to be
manufactured
8. Technical Assistance
Whether any foreign collaboration or know how is
Envisaged and if so the foreign exchange involved
9. Forecast of Time factors
a) Time required to secure land, Bldg. and other
accommodation after the letter of intent is issued
b) Time required to errect machinery and start
production after the licence is granted
10. Item of Manufacture
a) Annual Quantity (in matric measures)
b) Capacity Value (in Rs.)
11. Employment Potential
i) Supervisory
ii) Skilled
iii) Unskilled
12. a) Any special facilities required from the Govt.
b) Special Features, if any of the scheme
SIGNATURE OF THE APPLICANT
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II. Application for grant of licence for a Distillery Unit
(Andhra Pradesh Distillery Rules, 1970)
To
The Commissioner of Excise,
Andhra Pradesh, Hyderabad.
Dated. At.
Application of .. Business at resident, on
carrying on .. . .
(1) The undersigned ........................... for himself/acting on behalf of .
beg to apply for a licence to construct and work and possess of distillery under rule
. in the district Andhra Pradesh.
(2) The applicant desires to work ..................... stills of the following size and
description, namely and to manufacture R.S. of a quantity not exceeding ................. B.L.S.
per annum in terms of the letter of intent granted by the Government vide reference No..
dated )
(3) In the event of a licence being granted, the applicant purposes to commence .. working
at the distillery ........................ on the......
(4) Plans and statements of the premises and buildings to be used as a distillery and for store-houses
and other purposes connected with the business of distillation are annexed for approval. The applicant
undertakes to erect buildings and to make all necessary structural or other alterations and additions
to the premises and buildings which the Government may from time to time approve or direct and in all
respects to conform to the Excise Superintendents directions as to them maintenance of the premises
and buildings in a proper state in regard both to the repair and conditions of the buildings and premises
and their sanitation and suitability to the purposes of distillery under the rules in that behalf for the
time being in force.
(5) The applicant undertakes to comply in all respects with (a) the provisions of the distillery rules applicable
to the distillery or its working or possession, and (b) the conditions, which may be entered in the
licence, applied for.
(6) A Certificate from the municipality or other local authority to the effect that there are no objections on
sanitary grounds to the carrying on of the business of distillation in the locality and in the premises
and buildings proposed is attached.
(7) Any further plans, estimates or information required will be promptly applied.
(8) The applicant is/are ready and willing to deposit the sum of Rs ........ as security for the due
performance by him/them of each and all of the requirements of the Distillery Rules of the licence.
(9) The applicant is willing to supply the spirits produced in the distillery at the rate specified for manufacture
of State arrack.
SIGNATURE OF THE APPLICANT
Fee Structure
Amount to be paid : I. Application fee Rs. 200/- for getting permission
from Government
II. a) Licence Fee of Rs. 5,000/- for grant of
Licence to a Distillery
b) Bank Guarantee for Rs. 75.000/-
c) Cash Deposit of Rs. 50,000/-
Mode of Payment : D.D. drawn in favour of Commissioner, Prohibition
and Excise Department
Check Slip
I. For getting permission from Government
1) Part C7 (I) of Form-I 2 copies +
1 copy to Nodal Agency
2) Details of Fee paid
D.D. No. Amount Date
II. Grant of Licence for a Distillery
1) Part C7 (II) of Form-I 2 copies +
1 copy to Nodal Agency
2) Letter of Intent (Revenue Department)
3) Site & Building plans 2 copies
4) Furnish Number of Stalls and their sizes
5) Authorisation from local body
6) Approval of Inspector of Factories
7) Details of Fee paid
D.D. No. Amount Date
SIGNATURE OF THE APPLICANT
No.
FORM - I
PART - C7
APPLICATION FOR GETTING PERMISSION FROM GOVERNMENT AND
GRANT OF LICENCE FOR ESTABLISHMENT OF DISTILLERY