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Environmental Levy Scheme on Plastic Shopping Bags - Registration
 

Forms for Download

fillable PDFFillable PDF  Fillable Microsoft Word  Fillable Microsoft Excel

Form Number, Title And Details Click here to download
Form PSB-1 (A complete form for download)   

Application for Registration as Registered Retailer/ Registered Retail Outlet

  • For prescribed retailer or a person who proposes to be a prescribed retailer, to apply for registration as a registered retailer in respect of his qualified retail outlets;
     
  • For registered retailer to apply for registration of his new qualified retail outlet, or new exemption arrangement in a registered retail outlet.

  

Form PSB-1 (Individual Parts for download)  

Part A1 (Particulars of retailer – body corporate application) &
Part A2 (Particulars of retailer – individual application)

  
Part A3 (Particulars of retailer – partnership application)   
Part B1 (Particulars of retail outlet) &
Part B2 (Particulars of franchisee)
  
Part B3 (Application for exemption of part of the area of retail outlet - Type 1 Exemption)   
Part B4 (Application for exemption of part of the area of retail outlet - Type 2 Exemption)   
Part C (Declaration of Applicant)   
Form PSB-2  

Notification of Change of Information

For registered retailer

  • Change of address of registered office
  • Change of name of registered retailer
  • Change of proprietor of registered retailer
  • Change of partner of registered retailer
For registered retail outlet
  • Change of business address
  • Change of name of retail outlet
  • Change of franchisee
  • Revoke franchisee

   

Form PSB-3  

Application for Variation of Exemption

For Type 1 exemption

  • revoke all the exempted cashier's counters in a registered retail outlet
  • relocate exempted cashier's counter(s) to a new location within the retail outlet
  • revoke exempted cashier's counter(s) in a retail outlet
For Type 2 exemption
  • relocate third party operator(s) to a new location within the retail outlet
  • revoke third party operator(s) of a registered a registered retail outlet

   

 
Form PSB-4
 
Application for Deregistration of Registered Retailer/ Registered Retail Outlet
  • Deregistration of registered retailer
  • Deregistration of registered retail outlet

  

   

 
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