West Bengal Pollution Control Board
Help * indicates mandatory Field

Lead Acid Battery Administration

APPLICATION FORM FOR REGISTRATION
(Please Provide the following information)
 
 

GENERAL INFORMATION

 
Name of the Unit :*
Please Tick Your Activities :* Dealer Importer Bulk Consumer Auctioneer Registered Recyclers Manufacturer
 

 
For Dealers : For Importers :
TIN/VAT number : Import/Export License number :
For Recyclers : Import/Export License holder name :
Installed annual capacity to recycle (in MTA) : MoEF/CPCB Registration No. :
 

 
Unit Address :
Plot No : Building Name :
Road: City/Town/Village:
Police Station:* Local Body:
Ward Number: District :*
Post Office :* Pin Code :*
Telephone No. : Fax :*
Email: Website:
 

 
Name of Applicant:* Designation of Applicant:
Mobile No. :*
Correspondence Address :   Same as unit address
Plot No : Building Name :
Road: City/Town/Village:
Police Station:* Local Body:
Ward Number: District :*
Post Office :* Pin Code :*
Telephone No. : Fax :*
Email:
Date of Application (DD/MM/YYYY):
 

AUTHENTICATION

 
Please memorise the password and the registration number for future communication. This is Important
 
Enter Password :* Repeat Password :*