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Application Forms

 

Note: Please note that the procedure for applying for Consent for Establishment/ Expansion/ Renewal under Water (Prevention and Control of Pollution) Act, 1974,  Air (Prevention and Control of Pollution) Act,1981,  authorization under  Hazardous and Other Wastes (Management and Transboundary Movement) Rules, 2016 & E-waste (Management) Rules 2016, registration under Plastic Waste Management Rules, 2016 are made online and the applicants need to make application through XGN Software only (https://kspcb.karnataka.gov.in/xgnonline-consent-application). Please note that the application formats displayed below is for the reference & information of applicants only.

 

Application Form Number Purpose of Application Form
Form No. I
Air (Prevention and  Control of Pollution) Act, 1981

1)Application for Consent for establishment / Expansion / Diversification for Red Category industries irrespective of capital investment.

2)Consent for operation for Red,  Orange & Green Category industries irrespective of investment 

Form No. XIII
Water (Prevention and  Control of Pollution) Act, 1974

1)Application for Consent for establishment/ Expansion/ Diversification    for Red Category industries irrespective of capital investment

2)Consent for operation of Red, Orange & Green Category industries irrespective of capital investment.  

Form-OG - Combined Application Form for CFE(O&G) Combined Application Form for Consent for establishment Under WATER  (Prevention & Control of Pollution) Act 1974, and AIR (Prevention & Control of Pollution) Act  1981 for Orange & Green category
Form I Under Water (Prevention and Control of Pollution) Cess Act
[Rule 4] 
Form for filling monthly returns regarding water consumption
Form No. V  Under Environment (Protection) Rules 1986
[Rule(14)]
Form for submitting environmental Statement to the  Pollution Control Board
Checklist for application forms Checklist for application forms
   

Form No. II Under Bio Medical Waste (Management & Handling) Rules 2016 [Rule(10)]

Application For Authorization or Renewal Of Authorization(Management & Handling) Rules 2016

Form No. IV Under Bio Medical Waste (Management & Handling) Rules 2016[Rule(13)]

Annual Report to be submitted to the prescribed authority on or before 30th June every year ( Bio-Medical Waste (Management & Handling) Rules) 
   
Form No.I under Plastics Waste Management Rules, 2016

Application for registration for Producers or Brand owners

Form No.I under Solid Waste Management Rules, 2016

Application for obtaining authorization under Solid waste Management Rules 2016 for processing/recycling/treatment and disposal of solid waste

Form-1 under Construction and Demolition Waste 2016     checklist Application form for obtaining authorization under Construction and Demolition Waste Rules 2016

Form 1, under E-Waste( Management ) Rules, 2016  

Application Applicable for Producers seeking Extended Producer Responsibility-Authorisatioin.

Form 1a, under E-Waste( Management ) Rules, 2016

Application for obtaining authorization for generation/storage/Treatment/disposal of E-waste by Manufacturer/Refurbrisher.

Form 2, under E-Waste (Management) Rules, 2016

Application form for Manintaining records of Ewaste Handled or Generated

Form 3, The E-Waste (Management) Rules, 2016

Application form for Filing Annual Returns.

Form 4, The E-Waste (Management) Rules, 2016

Application form for Authorisation of Facilities possessinf environmentally sound management practice for Dismantling or Recycling of E-waste.

Form 6, under E-Waste (Management) Rules, 2016

Application form for E-Waste Manifest
Form-2 under Plastics Waste Management Rules, 2016 Application Form for registration of units engaged in processing or Recycling of Plastic Waste
Form-3 under Plastics Waste Management Rules, 2016 Application for Registration for Manufacturers of Plastic Raw materials
   

Form-1 Application required for Grant/Renewal for Authorization for Generation or Collection or Storage or Transport or Recycling or Reuse or Recovery or Preprocessing or Co-processing or Utilization or Treatment or Disposal of Hazardous or Other waste.

Application required for Grant/Renewal for Authorization for Generation or Collection or Storage or Transport or Recycling or Reuse or Recovery or Preprocessing or Co-processing or Utilization or Treatment or Disposal of Hazardous or Other waste.
Form No 16 For Registration of Traders For Schedule III, Part(D), HWM Rules, 2008 Registration of Traders For Schedule III , Part(D), HWM Rules, 2008

Form No. 3 Under Hazardous Waste (Management, Handling and Transboundary Movement) Rules, 2016

Format for maintaining records of Hazardous Wastes and other Wastes.

Form No. 4 Under Hazardous Waste (Management, Handling and Transboundary Movement) Rules, 2016

Form for filing Annual Returns by the occupier or operator of facility.
   
Form No.I under Batteries (Management and Handling) Rules, 2001 Form for filing returns of sale of new Batteries and Collection of used Batteries
Form No.II & III under Batteries (Management and Handling) Rules, 2001 Registration of importer of new Lead Acid Batteries/Primary Lead
Form No.IV under Batteries (Management and Handling) Rules, 2001 Form for filing returns of Sale of Lead Acid Batteries  
Form No.V under Batteries (Management and Handling) Rules, 2001 Form or filing returns of sale of new Batteries and Collection of old Batteries  
Form No.VI under Batteries (Management and Handling) Rules, 2001 Form for application for Registration of facilities possessing environmentally sound management practice for recycling of used lead acid batteries
Form No.VII under Batteries (Management and Handling) Rules, 2001 Form for filing returns by recyclers of used batteries
Form No.VIII under Batteries (Management and Handling) Rules, 2001 Form for filing returns for bulk consumers of Batteries  
Form No.IX under Batteries (Management and Handling) Rules, 2001 Form for filing returns by auctioneer of used batteries  
Application form Central Ground Water Authority Proforma of Application for grant of Permission for abstraction of Ground Water for Industrial use