FORMAT FOR FILING WATER CONSUMPTION RETURN (form no.1, rule 4) Return regarding Water consumed during the month of..... S.No. Name and Address of the consumer Purpose for which water is consumed Reading at the beginning of the first day of the calendar month under report Reading at the end of the last day of calendar month under report Quantity of water consumed in Kilo Liters. If the meter was out of Order, the monthly average consumption of water for the previous 3 months of working period Quantity of water qualifying for rebate according to the assessee Remarks (*) 1 2 3 4 5 6 7 8 1. Industrial cooling spraying in mine pits or boiler feed 2. Domestic purpose 3. Processing whereby water gets polluted and the pollutants are easily biodegradable. 4. Processing whereby water gets polluted and the pollutants are not easily biodegradable (*) for claiming rebate under col.7 the assessee shall indicate in this column the analytical and other reports annexed to this return in support of this claim. Signature of the Consumer Name ........ Address .......
