A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.
- Company name
- Licence No.
- Business No.
Regional Excise Duty Office Information
- Excise Officer
Approval request information
- True Alcohol %
- Apparent Alcohol %
- Classification (Beer/Wine/Spirits)
- Sample Volume
- Density as is
- Salt Content
- Acetic Acid Content (Wine Vinegar)
- Formula conformity (please add formula # to sample name)
- Mass of tobacco
- Other (Please use the comments section)
- Date modified: