SCHEDULE XI

Form 1 page 1

Report on production of ozone depleting substances

Frequency of report : Annually

Last date for submission of report : Within 60 days of end of the year

Name of company: Period of report : January -- December 19
Name of Group of Ozone Depleting Substances? Name of Ozone Depleting Substances Total Quantity produced for All uses *2 Quantities produced for exemped uses within India *3

Quantity pro- Quantity pro-

duced for feed duced for other

stock within India exempted use

within India

Quantity produced for supply to countries listed in parts I and II of Schedule-VI
Group I CFC13 (CFC-11)

CFC(12) (CFC-12)

C2F4C12 (CFC-114)

C2 F5C1 (CFC-115)
TOTAL

Form 1 -- page 2

Name of Group of Ozone Depleting Substances Name of Ozone Depleting Substances

* 1

 Total Quantity produced for All uses *2 Quantities produced for exemped uses within India *3

Quantity pro- Quantity pro-

duced for feed duced for other

stock within India exempted use

within India

Quantity produced for supply to countries listed in parts I and II of Schedule-VI
Group II CF2BrCl (Halon 1211)

CF3 Br (Halon 1301)

C2F4Br2 (Halon 2402)
TOTAL
Group III CF3Cl (CFC-13)

__________________________________________________________________________________

__________________________________________________________________________________

___________________________________________________________________________________

Total

Group IV CC14 (Carbon tetra-

Chloride)

Group V C2H3C13 (Methy)

Chloroform i.e.

1.1.1-trichloroethane)

Form 1 -- Page 3

Name of Group of Ozone Depleting Substances Name of Ozone Depleting Substances

* 1

 Total Quantity produced for All uses *2 Quantities produced for exemped uses within India *3

Quantity pro- Quantity pro-

duced for feed duced for other

stock within India exempted use

within India

Quantity produced for supply to countries listed in parts I and II of Schedule-VI
Group II CHFCI (HCFC-21)

CHF2CI (HCFC-22)

CH2FCI (HCFC-31)

C2HF3CL2 (HCFC-123)

C4HF4CI (HCFC-124)

C2H2F3CI (HCFC-133)

CH3CF12 (HCFC-141 b)

CH3CF2CI (HCFC -- 142b)

C3HF5C2 -- (HCFC-225)

CF3CF-2CHCI2(HCFC-225ca)

CF2CICF2HCIF(HCFC-225cb)

TOTAL

Form 1 - Page 4

Name of Group of Ozone Depleting Substances Name of Ozone Depleting Substances

* 1

 Total Quantity produced for All uses *2 Quantities produced for exemped uses within India *3

Quantity pro- Quantity pro-

duced for feed duced for other

stock within India exempted use

within India

Quantity produced for supply to countries listed in parts I and II of Schedule-VI

1 2 3 4 5 6

Group VII HBFCs
Group VIII (Methyl Bromide Total quantity

(CH3Br) of New Methyl-

Bromide produced

for Quarantine

and Preshipment

applications within

India and for exports

Signature *4

with seal

Form 1 page 5

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

P……………………………… Signature *4………………………………...

Date………………………………. with seal

*1 Please see Schedule I for complete list of ozone depleting substances.

*2 Total production should be given without any deductions. The Ministry of Environment & Forests would make the necessary deductions in accordance with the definition in rule 2.

*3 Please see rule 2(k) and give the total quantity used within India as feedstock and quantity exempted under rule 16 from local production.

*4 The above Form including the verification portion must be signed in case of an individual by the individual himself or a person duly authorized by him-in case of Hindu undivided family by the Karta: in case of a partnership firm. by the managing partner. in case of a company. by a person duly authorized in that behalf by the Board of Directors. and in any other case by a person incharge of or responsible for the conduct of the business.

Form 2 page 1

Data on imports of ozone depleting substances

Frequency of report : Quarterly

Last date for submission of report : Within 30 days of end of the quarter.

Name of Company: _______________________ Period of report:

Name of ozone depleting substances *1:------------------------

(in metric tonnes)

Sr. No. Purchase order

No. & date

 Bill of Lading no. & date Total Quantity imported all uses Quantity of new ozone depleting substance imported to use as

*2 *3

New Recovered Reclaimed Feedstock Exempted

Uses

1 2 3 4 5 6 7 8
TOTAL

Free on Board (FOB) value

$

Free on Board Value (FOB)

Rs..

 Import licence No. & date Country from which imported Name & address of seller Port of shipment Port of delivery
9 10 11 12 13 14 15
TOTAL

Signature *4

with seal

Form 2 page 2

Verification

I ……………………………………………………………………………………. S/o ……………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am making this application in my capacity as ………………………… and that I am competent to make this application and verify it by virture of ……………………………………. A photo/ attested copy of which is enclosed herewith.

Place………………………… Signature *4………………………………………….

Date…………………………. with seal

Notes:-

*1 One form should be used for only one ozone depleting substance. Use separate form for each ozone depleting substance. Please see Schedule 1 for complete list of all ozone depleting substance.

*2 ''Recovery'' The collection and storage of ozone depleting substance from machinery, equipment vessels etc. during servicing or prior to disposal.

*3 ''Reclamation'' The reprocessing and upgrading of a recovered ozone depleting substance through such mechanism as filtcring, during, distillation and chemical treatment in order to restore the substance to specified standard of performance. If often involves processing ''off side'' at a central facility.

*4 The above Form including the verification portion must be signed incase of an individual by the individual himself or a person duly authorized by him, in case of Hindu undivided family, by the Karta: in case of the partnership firm, by the managing partner., in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any case, by a person incharge of or responsible for the conduct of the business.

Form 3 -- page 1

Report on exports of ozone depleting substances

Frequency of report : Quarterly

Last dare for submission of report : Within 30 days of end of the quarter

Name of Company: _______________________ Period of report:

Name of ozone depleting substances *1:------------------------

(in metric tonnes)

Sr. No. Invoice No.

& date

 Bill of Lading no. & date Quantity exported for

all uses

 Quantity of new ozone depleting substance imported to use as

New *2 Recovered Quarantine & Feedstock Exempted uses

& Reclaimed Preshipment

application *3

1 2 3 4 5 6 7 8
TOTAL

Free on Board (FOB) value $ Free on Board (FOB)Value Rs. Export licence No. & date Country to which exported Name & address of buyer Port of shipment Port of delivery
9 10 11 12 13 14 15
TOTAL

Signature *4

with seal

Form 3 page 2

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *4………………………………...

Date………………………………. with seal

Notes:-

*1 One form should be used for only one ozone depleting substances. Use separate form for each ozone depleting substances. Please see Schedule 1 for complete list of all ozone depleting substances

*2 ''Recovery'' The collection and storage of ozone depleting substances from machinery, equipment vessels etc. during servicing or prior to disposal.

''Reclamation'' The reprocessing and upgrading of a recovered ozone depleting substances through such mechanism as filtcring, during, distillation and chemical treatment in order to restore the substance to specified standard of performance. If often involves processing ''off side'' at a central facility.

*3 For Methyl Bromide only.

*4 The above Form including the verification portion must be signed incase of an individual, by the individual himself or a person duly authorized by him, in case of Hindu undivided family, by the Karta: in case of the partnership firm, by the managing partner., in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any case, by a person incharge of or responsible for the conduct of the business.

Form 4- page 1

Report on sale of ozone depleting substances

Frequency of report : Quarterly

Last date for submission of report : Within 30 days of end of the Quarter

Name of Company: _____________________ Period of reprot: __________

Part A

(in metric tonnes)

Sr. No. Name of Ozone Depleting Substance Quantity of ozone depleting substance

*1 *2 *3

Produced imported Reclaimed Exported

Quantity of Ozone Depleting Substances purchased locally Name and address of Indian supplier from whom Ozone Depleting Substances was purchased locally
Total for each

Ozone Depleting

Substance

Form 4 -- page 2

Part B

(in metric tonnes)

Sr. No. Name of Ozone Depleting Substances Purpose for which *4 Ozone Depleting Substance was sold to the buyer Quantity of Ozone Depleting Substance sold to the buyer Name & address of buyer
TOTAL

Signature *5

with seal

Form 4 -- page 3

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *5………………………………...

Date………………………………. with seal

Notes:

*1 Full report to be submitted as per Form 2

*2 -do- Form 7.

*3 -do- Form 3.

*4 Purpose are: (i) Manufacture of aerosols (excluding metered dose inhalers

for medical purposes).

Manufacture of Foam products.

Manufacture of Fire extingushers & fire extinguishing systems.

Manufacture of Mobile Air conditioners

Manufacture of other Refrigerations & Air conditioning products (excluding compressors).

Solvent use.

Exempted use.

Selling.

Servicing of fire extinguishers or fire extinguishing system.

Metered dose inhalers for medicinal purpose.

Manufacture of Compressors.

Others -- specify.

Form 4 -- page 4

*5 The above Form including the verification portion must be signed incase of an individual, by the individual himself or a person duly authorized by him, in case of Hindu undivided family, by the Karta: in case of the partnership firm, by the managing partner., in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any case, by a person incharge of or responsible for the conduct of the business.

*6 Use separate form for separate ozone depleting substances.

Form -- 5 -- page 1

Report on purchase of ozone depleting substances on end use bases

Frequency of report : annually

Last date for submission : Within 30 days of end of calender year.

Name of Company: ______________ Period of report : January -- December ……..

Part A

(in metric tonnes)

Sr. No. Name of Ozone Depleting Substance Quantity of Ozone Depleting Substance

*1 *2

imported Reclaimed

Quantity of Ozone Depleting Substances purchased locally Name and address of Indian supplier from whom Ozone Depleting Substances was purchased locally
Total

Form 5 -- page 2

Part B

(in metric tonnes)

Sr. No. Name of Ozone Depleting Substances Name & address of enterprise/firm Ozone Depleting Substances was used *3* Purpose3 for which Ozone Depleting Substance was used Quantity of Ozone Depleting Substance used
TOTAL

Signature *4

with seal

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *4………………………………...

Date………………………………. with seal

Notes:

*1 Full report to be submitted as per Form 2.

*2 Full report to be submitted as per Form 7.

*3 Purpose are: (i) Manufacture of aerosols (excluding metered dose inhalers

for medical purposes).

Manufacture of Foam products.

Manufacture of Fire extingushers & fire extinguishing systems.

Manufacture of Mobile Air conditioners

Manufacture of other Refrigerations & Air conditioning products (excluding compressors).

Solvent use.

Exempted use.

Selling.

Servicing of fire extinguishers or fire extinguishing system.

Metered dose inhalers for medicinal purpose.

Manufacture of Compressors.

Others -- specify.

*4 The above Form including the verification portion must be signed incase of an individual, by the individual himself or a person duly authorized by him, in case of Hindu undivided family, by the Karta: in case of the partnership firm, by the managing partner., in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any case, by a person incharge of or responsible for the conduct of the business.

Form 6 - page 1

Report on use of non ozone depleting substances by beneficiary companies*1

Frequency of report : Annually

Last date for submission : Within 60 days of end of calendar year

Name of Company:_________________ Period of report: Jan--Dec. ………….

(in metric tonnes)

Sr.No.Name of non-Ozone Depleting Substance being used Quantity of non-Ozone Depleting Substance used during the period of report

Total

Signature *3

with seal

Form 6 -- page 2

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *3………………………………...

Date………………………………. with seal

Notes:

*1 This report is to be submitted by all companies whose names have been notified under sub rule 2 of rule 6 or sub-rule 3 of rule 14

*2 Purpose are: (i) Manufacture of aerosols (excluding metered dose inhalers

for medical purposes).

Manufacture of Foam products.

Manufacture of Fire extinguishers & fire extinguishing

systems.

Manufacture of Mobile Air conditioners

Manufacture of other Refrigerations & Air conditioning

products (excluding compressors).

Solvent use.

Exempted use.

Servicing of fire extinguishers or fire extinguishing system.

Manufacture of Compressors.

Others -- specify.

*5 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

Form 7 -- page 1

Report on reclamation of ozone depleting substances

Frequency of report : Annually

Last date for submission : Within 60 days of end of calendar year.

Name of Company ………………………………………………. Period of report : January -- December …….……

(in metric tonnes)

Sr. No. Name of Ozone Depleting Substances *1 Quantity of *2 Ozone Depleting Substances recovered Name & Address of company/site from which Ozone Depleting Substances was recovered Quantity of Ozone Depleting Substances was reclaimed3 Name & Address of site at which Ozone Depleting Substances was reclaimed
1 2 3 4 5 6
TOTAL

Signature *4

with Seal

Form 7 -- page 2

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *3………………………………...

Date………………………………. with seal

:56:

Notes:

*1 Please see Schedule I for list of all ozone depleting substances.

*2 ''Recovery'' The collection and storage of ozone depleting substances from machinery, equipment, containment vessels during servicing or prior to disposal.

*3 ''Reclamation'' The reprocessing and upgrading or recovered ozone depleting substances through such mechanism as filtering drying, distillation and chemical treatment in order to restore the substance to a specified standard of performance. If often involves processing "of-side" at a central facility.

*4 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

Form -- 8

Report on quantity of ozone depleting substances destroyed

Frequency of report : Annually

Last date for submission of report : Within 30 days of end of calendar year

Period of report : January -- December …….…….

Name of Company ……………………………………………………………….

(in metric tonnes)

Name of Group of Ozone Depleting Substances Name of Ozone Depleting Substances Quantities Destroyed *1

Signature *2

with Seal

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *2………………………………...

Date………………………………. with seal

Notes:

*1 Quantity destroyed should be calculated on the basis of destruction efficiency of the facility employed.

*2 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

Form 9 page 1

Form for refrigeration of enterprises producing ozone depleting substances [sub-rule (1) of rule 3]

Name of enterprises

Address of Registered office (including Tehsil, District, State)

Particulars of factories

Sr. No. Name *1 of Ozone Depleting Substances Address of factory where Ozone Depleting Substances is produced (inculding Tehsil, District, State) Date of incorporation or registration Date of commencement of commercial production
1.
2.
3.
4.

Name of business house/group to which the enterprise belongs

Please give name of Managing Director of Chief Executive.

Form 9 Page 2

Please enclose a copy each of the Annual Report, Audited Balance Sheet and Profit and Loss Account of the enterprise for the last three years.

Signature of the applicant *2

with Seal

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *2………………………………...

Date………………………………. with seal

Notes:

*1 Please see Schedule I for list of all ozone depleting substances.

*2 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

Form 10 - page 1

Form for registration of enterpriese selling ozone depleting substances [sub-rule (1) of rule 6]

Name of firm

Address of Registered office (including Tehsil:

District, State)

Date of Registration and the name of Act under:

which registered ( A copy of such registration to

to be attached):

Particulars of sales outlet

Sr. No. Name of Ozone Depleting Substance Address of sale outlets Date of start of sale of Ozone Depleting Substance Name & address of producer/importer of Ozone Depleting Substance from whom Ozone Depleting Substance was purchased during the past twelve months

Form 10 Page 2

Name of Proprietor or Chief Executive:

Please attach a copy of latest Income Tax

Assesment Order:

Signature of the applicant *2

with seal

Verification

I declare that the enterprise/ firm mentioned in Sr. 1 above has not applied for registration under sub-rule (1) of rule 6 of the Ozone Depleting Substances (Regulation and Control ) Rules, 2000 with any other registering authority.

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *2………………………………...

Date………………………………. with seal

Notes:

*1 Please see Schedule I for list of all ozone depleting substances.

*2 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

* * * * * * * *

Form 11- page 1

Form for registration of enterprises using ozone depleting substances in activities specified in column 2 of Schedule IV

[sub-rule (1) of rule 8]

Part A

Activities relating to manufacture of products using ozone depleting substances

Name of the enterprise:

Address of Registered office (including Tehsil:

District, State)

Particulars of factories:

Sr. No. Address of factory where products using Ozone Depleting Substances are produced (including Tehsil, District, State) Name of products being manufactured *1 Date of incorporation registration Date of commencement of commercial production
1.
2.
3.
4.

4. Name of business house/group to which Schedule ……………………………… .XI

the enterprise belongs: Form …………………………………………..11

5. Please give name of Managing or chief Page……………………………………………….2

Executive.

6. Please enclose a copy of the latest Annual :

Report, Audited Balance Sheet and Profit &

Loss Account of the enterprise.

Signature of the applicant *2

with seal

Verification

I declare that the enterprise/ firm mentioned in Sr. 1 above has not applied for registration under sub-rule (1) of rule 6 of the Ozone Depleting Substances (Regulation and Control) Rules, 2000 with any other registering authority.

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *2………………………………...

Date………………………………. with seal

Notes:

*1 Products to include one of the following:

(i) Aerosols (excluding metered dose inhalers for medicinal purposes); (ii) Foam Products; (iii) Fire Extinguishers or fire extinguishing systems; (iv) Mobile Air Conditioners; (v) Other Regrigeration & Air conditioning products (excluding compressors); (vi) Products where ozone depleting substances are used as solvents; (vii) Metered Dose Inhalers for medicinal lpurpose.

*2 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

Form 11 page 2

Part B

Activities rekating to servicing of fire extinguishers or fire extinguishing systems

1. Name of the enterprise/firm :

Address of Registered office (including :

Tehsil, District, State)

Date of Registration and the name of Act under :

which registered. (A copy of registration to be

attached)

4. Servicing fire extinguishers : Yes/No

5. Servicing fire extinguishing systems : Yes/No

6. Address of servicing outlet :

7. Dare of commencement of servicing activities :

8. Name of Proprietor/ Chief Executive Committee :

Please enclose a copy of the latest Annual Report, Audited Balance Sheet and Profit & Loss Account of the enterprise or Income Tax Assessment Order.

Signature of the applicant *1

with seal

Verification

I declare that the enterprise/ firm mentioned in Sr. 1 above has not applied for registration under sub-rule (1) of rule 6 of the Ozone Depleting Substances (Regulation and Control) Rules, 2000 with any other registering authority.

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *2………………………………...

Date………………………………. with seal

Notes:

*1 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

* * * * * *

Form 12 -- page 1

Report on manufacture, import, export and sale of compressors

Frequency of report : Quarterly

Last date for submission of report : Within 30 days of end of the quarter

Name of Company………………………………………………………….. Period of report…………………………

Sr. No. Size of Compressor No. of compressors
Produced Imported Exported
1 2 3 4 5
TOTAL

No. of compressor sold in India Name and address of Indian buyer Name of refrigerant if compressor was charged at the premises of the company Quantity of refrigerant used
6 7 8 9
TOTAL

Signature *1

with Seal

Form 12 Page 2

Verification

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *2………………………………...

Date………………………………. with seal

Notes:

*1 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

Form 13 -- page 1

Form for registration of enterprises manufacturing, importing or exporting compressors

(rule 12)

Name of the eneterprise/firm :

Address of Registered office (including :

Tehsil, District, State)

Particulars of factories manufacturing :

Compressors (for manufacturers)

Sr. No. Address of factory where compressors are produced (including Tehsil, District, State) Date of incorporation or registration Date of commencement of commercial production
1 2 3 4
1.
2.

Particular regarding imports:

(for importers)

Sr. No. Address of companies from whom importing Date of start of imports
1 2 3
1.
2.

Form 13 - Page 2

Particular of sales outlet

(for exporters and/or tranders)

Sr. No. Address of sales outlets Date of start of sales Date of start of exports
1 2 3 4
1.
2.

Name of business house/group to which the enterprises belongs:

Please give name of Managing Director or Chief Executive:

Please enclose a copy each of the latest Annual Report, Audited Balance Sheet and Profit & Loss Account or Income Tax Assessment Order of the enterprises/firm.

Signature of the applicant *1

with Seal

Verification

I declare that the enterprise/ firm mentioned in Sr. 1 above has not applied for registration under sub-rule (1) of rule 6 of the Ozone Depleting Substances (Regulation and Control ) Rules, 2000 with any other registering authority.

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *1………………………………...

Date………………………………. with seal

Form 13 Page 3

Notes:

*1 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

Form 14

Form for registration *2 of enterprises reclaiming/ destroying ozone depleting substances

(rule 11)

Name of the enterprise:

Address of Registered office (including :

Tehsil, District, State)

Particulars of factories:

Sr. No. Name of Ozone Depleting Substance *3 Address of factory where Ozone Depleting Substances is being reclaimed/destroyed (including Tehsil, District, State) Date of incorporation or registration Date of commencement of commercial reclamation destruction
1.
2.
3.
4.

Name of business house/group which

The enterprise belongs:

Please give name of Managing Director or

Chief Executive :

Schedule ………………………………XI

Form……………………………………..14

Page ………………………………..…….2

Please enclose a copy each of the latest Annual Report, Audited Balalnce Sheet and Profit & Loss Account of the enterprise.

Signature of the applicant *1

with seal

Verification

I declare that the enterprise/ firm mentioned in Sr. 1 above has not applied for registration under sub-rule ( 1) of rule 6 of the Ozone Depleting Substances (Regulation and Control) Rules, 2000 with any other registering authority.

I ……………………………………………………………………………………. S/o …………………………………………………………………………. do hereby solemnly verify that to the best of my knowledge and belief the information given above and the annexure and statements any accompanying it are correct and complete.

I further declare that I am submitting and verifying the information given above in my capacity as ………………………………………….. and that I am competent to do so.

Place……………………………… Signature *1………………………………...

Date………………………………. with seal

Notes:

*1 The above form including the verification portion must be signed in case of an individual, by the individual himself or a person duly authorized by him: in case of Hindu undivided family, by the Karta: in case of a partnership firm, by the managing partner, in case of a company, by a person duly authorized in that behalf by the Board of Directors and in any other case, by a person incharge of or responsible for the conduct of the business.

*2 Please use separate form for reclamation and destruction.

*3 Please see Schedule I for list of all ozone depleting substances.