FORM - V [See rule 7(iv)] FORM FOR FILING RETUNS 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. 2. 3. Name and address of the dealer Name of the authorized person and complete address with telephone and fax numbers Number of new batteries sold during the period October-March/April-September in respect of the following categories Category (i)Automative (a)Four Wheeler (b)Two Wheeler (ii)Industrial (a)UPS (b)Motive power (c)Stand-by (iii) Others (inverters, etc.) Number of batteries sold to 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 Tones 4. Total number of used batteries of different categories as at Sl. No. 3 collected and sent to registered recyclers * / designated collection centers / manufacturers enclose the list of recyclers to who batteries have been sent for recycling. Place_________________ Date__________________ Signature of the authorized person