Duly completed form alongwith necessary attachments are to be submitted in single copy WEST BENGAL POLLUTION CONTROL BOARD Paribesh Bhawan,10A, Bloc

Page 1 of 7 Duly completed form alongwith necessary attachments are to be submitted in single copy WEST BENGAL POLLUTION CONTROL BOARD Paribesh Bhawan,10A, Block – LA, Sector III, Salt Lake Kolkata – 700 098, INDIA; Ph 335 9088,& Fax : (0091) (33) 335 8073 Application for Consent to Establish for discharge of effluent, under Section 25 and Section 26 of Water (Prevention and Control of Pollution) (Extractive summary — verify with official source.)