FORM II (see rule 10 ) ANNUAL REPORT
	(To be submitted to the prescribed authority by 31 January every year)
	1. Particulars of the applicant
	(i) Name of the authorised person(occupier/operator) : (ii) Name of the institution :   Address   Tel. No.   Telex No.   Fax No.
	2. Categories of waste generated and quantity on a monthly average basis :
	3. Brief details of the treatment facility :
	In case of off-site facility : (i) Name of the operator : (ii) Name and address of the facility :   Tel. No., Telex No., Fax No.
	4. Category-wise quantity of waste treated :
	5. Mode of treatment with details :
	6. Any other information :
	7. Certified that the above report is for the period from ...........................................................
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	Date : Signature ......................................... Place : Designation ......................................