West Bengal Pollution Control Board
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Import of Hazardous chemicals

IHC Application Form
 

IMPORTER DETAILS

Name of Importer :*  
Importer Address Details :
Plot No : Street/Road Name :
Police Station :* City :
Post Office :* District :*
Pin Code :* Telephone :
Fax : E-Mail :

Purpose of Importing :*  
Sale to End-User :*  

END-USER DETAILS

Name * Plot No Street/Road Name Post Office * Pin Code * State(WB/Others) * District * Validity Of Consent
From Date(DD/MM/YYYY) To Date(DD/MM/YYYY)
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Sale to Traders/Whole Sellers :*

TRADERS / WHOLE SELLERS DETAILS

Name * Plot No Street/Road Name Post Office * Pin Code * State(WB/Others) * District *
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CHEMICAL DETAILS

Chemical Name * Schedule Type * Serial No as per Schedule* Quantity (mt)* Invoice No.* Invoice Date (DD/MM/YYYY) * Bill of Lading No.* Lading Date (DD/MM/YYYY)* Vessel Name* Port of Entry*
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AUTHENTICATION

Please Memorise the Password and the Application Number for Future Communication. This is Important
 
 Password :*  Confirm Password :*