FORM-V [see rule 7(iv)] FORM FOR FILING RETURNS OF SALE OF NEW BATTERIES AND COLLECTION OF OLD BATTERIES [To be submitted by dealers to the manufacturers by 31st May (for sale during October - March) and 30th November (for sale during April- September) every year] 1. Name and Address of the dealer 2. Name of the Authorised person and full address with telephone and fax- numbers 3. Number of new Batteries sold during the period October-March/ April-September in respect of the following categories: Category (i) Automobile (a) four wheeler (b) two wheeler (ii) Industrial (a) UPS (b) Motive Power (c ) Stand-by (iii) others Number of batteries sold (i) As replacement of used Batteries (ii) to bulk consumers (iii) To OEM (iv) to any other party (i) No. of Batteries (ii) Approximate weight ( in Metric Tonnes) 4. Total number of used batteries of different categories as at Sl.No.3 collected and sent to registered recyclers */designated collection centres/manufacturers * enclose the list of recyclers to whom batteries have been sent of recycling. Place: Date: Signature of the authorized person