FORM-VIII [see rule 10(2) (ii)] FORM FOR FILING RETURNS FOR BULK CONSUMER OF BATTERIES [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 with telephone and fax- numbers 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) Automobile (a) four wheeler (b) two wheeler (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 at Sl.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 the list of manufacturers/dealers/importer/registered recyclers/or any other agency to whom the used batteries scrap was sent. Place: Date: Signature of the authorized person