Stock consumed in manufacture during the month (Indigenous & Imported) Total. Kg. (3)c. Kg. (4) (1) (2) (3)a (3)b(i) (3)b(ii) (3)c (4) (5) (6) (7) (8)

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Valerie Small
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1 *FORM K (See Rule 43 (3) ) Monthly return by manufacturer (The return for each should be sent so as to reach the Secretary, Rubber Board, Kottayam on or before the 20 th of the succeeding ) THE RUBBER BOARD Registration No.. Name of Manufacturer Full Address (1) Position of Natural Rubber and Groups and Grades (1) Closing stock of all grades of rubber as shown in the last return (2) (3)a acquired and Indigenous (3)b(i) Imported under the export promotion schemes (3)b(ii) Total (3)c consumed in manufacture (4) otherwise disposed of (5) Balance of stock on hand at the end of the (6) in transit awaiting delivery (7) Quantity of rubber for which import received during the (8) (1) (2) (3)a (3)b(i) (3)b(ii) (3)c (4) (5) (6) (7) (8)

2 RSS 1 RSS 2 RSS IX RSS 3 Cuttin gs No. 1 RSS 4 RSS 5 Cuttin gs No.2 Preco agulat ed Crepe Crepe X Crepe 1 Crepe 2 Crepe 3 FAQ Group 1 Group 2 Group 3 Group 4 Estate Brown Crepe Super IX Estate Brown Crepe IX Group 5 Estate Brown Crepe 2X Smoked Blanket Remilled Crepe 2

3 (1) (2) (3)a (3)b(i) (3)b(ii) (3)c (4) (5) (6) (7) (8) Estate Brown Crepe 3 X Remilled Crepe 3 Group 6 Remilled Crepe 4 Flat Bark Crepe (Earth Scrap Crepe) Group 7 Scraps (Dry Weight) Sole Crepe Latex (Dry Rubber content) (State percentage of concentration), Masterbatches (State percentages of Dry Rubber Content) Technically Specified Rubber (Specify the type and grade). i) Normal ii) Centrifuged concentrate iii)creamed concentrate i) Rubber Carbon Black Masterbatches ii) Any other Masterbatches iii) i).. ii) iii)... iv)... v) vi) vii)... (1) (2) (3)a (3)b(I) (3)b(ii) (3)c (4) (5) (6) (7) (8)

4 Oil extended Rubber (Specify the type and grade and percentage of Dry Rubber Content, in each). i)... ii) iii).. TOTAL Date: Place: Signature of the Manager/Proprietor of the factory. (Name of the person signing should be given in the block letters)

5 POSITION OF SYNTHETIC RUBBER Types of Synthetic Rubber (1) Styrene Butadiene Butyl Neoprene Polyisoprene Polybutadiene Nitrile Ethylene-Prophylene Silicone Others (Specify) TOTAL Closing stock of each type of rubber as shown in the last return (2) (3)a acquired and Indigenous (3)b(i) Imported under the export promotion schemes (3)b(ii) Total (3)c consumed in manufacture (4) otherwise disposed of (5) Balance of stock on hand at the end of the (6) in transit awaiting delivery (7) Quantity of rubber for which import received during the (8)

6 3 POSITION OF RECLAIMED RUBBER Types of reclaimed Rubber (Specify) (1) Closing stock of each type of rubber as shown in the last return (2) (3)a acquired and Indigenous (3)b(i) Imported under the export promotion schemes (3)b(ii) Total (3)c consumed in manufacture (4) otherwise disposed of (5) Balance of stock on hand at the end of the (6) in transit awaiting delivery (7) Quantity of rubber for which import received during the (8) TOTAL I declare that the above is a true and correct account in respect of for the of.. (State here the name of the firm) Signature of the Manager/Proprietor of the factory. (Name of the person signing should be given in block letters) * 1. Inserted as per Notification No.G.S.R.2402, dated of the G.O.I. Ministry of Commerce, (Published in the Gazette of India, dated 20/9/1975) 2. Amended as per notification No.GSR 561 (E) dated 5/7/1994 published in Part Ii-Section 3- Sub Section (I) of the Gazette of India dated5/7/1994.

The Form D under the said provisions of law is appended. Instructions to the applicants are furnished below.

The Form D under the said provisions of law is appended. Instructions to the applicants are furnished below. GUIDELINES FOR FILLING UP APPLICATION (NEW / RENEWAL) IN FORM-D FOR OBTAINING LICENCE TO PURCHASE OR OTHERWISE ACQUIRE RUBBER FOR MANUFACTURING RUBBER PRODUCT Under Section 14 of the Rubber Act 1947, No