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E-Waste FORM-3

This document outlines the form that must be submitted annually by producers, collection centers, dismantlers, and recyclers of electronic waste to the appropriate authority. The form requires the submission of details such as the name and address of the organization, contact information, quantities of electronic waste sold, purchased, or sent for processing by category, names and addresses of destinations for dismantled or recycled waste, and types and quantities of materials recovered from the waste processing. The completed form must be submitted by June 30th each year for the previous financial year and must include an audited certificate of any funds received and how they were used.

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Shrinivas Manchali
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585 views1 page

E-Waste FORM-3

This document outlines the form that must be submitted annually by producers, collection centers, dismantlers, and recyclers of electronic waste to the appropriate authority. The form requires the submission of details such as the name and address of the organization, contact information, quantities of electronic waste sold, purchased, or sent for processing by category, names and addresses of destinations for dismantled or recycled waste, and types and quantities of materials recovered from the waste processing. The completed form must be submitted by June 30th each year for the previous financial year and must include an audited certificate of any funds received and how they were used.

Uploaded by

Shrinivas Manchali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FORM – 3

[See rules 4(9), 5(4), 6(2), 7(7), 8(5) and 9(5)]

FORM FOR FILING ANNUAL RETURNS


th
[To be submitted by producer/collection centre/dismantler/recycler by 30 June following to
the financial year to which that return relates].

Quantity in Metric Tonnes (MT) or Kilograms (Kg) per year

1 Name and address of the producer/collection


centre/dismantler/ recycler

2 Name of the authorized person and complete


address with telephone and fax numbers and
e-mail address
3 Total quantity e-waste sold/purchased/sent for
processing during the year for each category of
electrical and electronic equipment listed in
the Schedule 1 (Attach list)
Details of the above TYPE QUANTITY
3(A)* DISMANTLERS: Quantity of e-waste in MT
purchased & processed and sent to (category
wise):
3(B)* RECYCLERS: Quantity of e-waste in MT
purchased/processed (category wise):
4 Name and full address of the destination with
respect to 3 (A-B) above
5 Type and quantity of materials segregated/ Type Quantity
recovered from e-waste of different categories
as applicable to 3(A) & 3(B)

Note: The applicant shall provide details of funds received (if any) from producers and its
utility with an audited certificate.
✓ enclose the list of recyclers to whom e-waste have been sent for
recycling. * strike off whichever is not applicable

Place ___________________

Date ___________________ Signature of the authorized person

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