FORM - VIII [ see rule 10 (2) (ii) ] [To be submitted by the bulk consumer to the State Board by 30th June ( for the period October-March) and 31st December (for the period April-September) every year] 1. Name and Address of the bulk consumer 2. Name of the Authorised person and full Address of with telephone and fax number 3. Number of new batteries of different categories purchased from the manufacturer/importer/dealer or any other agency during October-March and April-September Category: (i) Automative (a) Four wheelers (b) Two wheelers (ii)Industrial (a) UPS (b) Motive Power (c) Stand-by (iii)Others (i) No. of Batteries (ii) Approximate weight (in Metric Tonnes) 4. Number of used batteries of categories mentioned in SI. No.3 and Tonnage of scrap sent to manufacturer/dealer/importer/registered recycler/or any other agency to whom the used batteries scrap was sent*. Enclose list of manufacturer/dealer/importer/registered recyclers/or any other agency to whom the used batteries scrap was sent. Date: Place: Signature of the authorized person