N V CH QUN

CNG HO X HI CH NGHA VIT NAM

N V NG K MUA IN
c Lp T do Hnh phc
-----------------------------------S
Tam K, ngy thng nm 200
GIY NG K MUA IN
Tn n v ng k mua in: n v ng k mua in
a ch:
S in thoi:
a im cp in:
Ngnh ngh/Mc ch s dng in:
Ch s dng in (1 ca, 2 ca hay 3 ca):
Cc yu cu cp in:
-

ng dy trung th: chiu di, loi dy

Cng sut TBA (tng giai an thi gian):

im u ni:

Cp in p mua bn in :

Thi gian bt u s dng in:

Cc h s km theo:
1. Mt trong cc giy t lin quan n a im mua in (bn sao c cng chng
hoc chng thc) :
- Giy chng nhn quyn s dng t
- Hp ng thu t c xc nhn ca c quan c thm quyn.
2. Mt trong cc giy t lin quan n khch hng mua in (bn sao c cng
chng hoc chng thc) :
- Giy chng nhn ng k kinh doanh hoc Giy chng nhn ng k vn phng
i din.
- Giy php u t
- Quyt nh thnh lp n v
3. Bng lit k cng sut s dng in
4. Mt bng cng trnh xin cp in c th hn im u ni vo li in hin
trng, v tr cc TBA cn cp in (c xc nhn ca ch u t).
5. th ph ti ngy in hnh ca ph ti.
Ch u t cam kt sau khi cng trnh hon thnh, s chu trch nhim qun l vn
hnh cng trnh. Nu c ch trng ca nh nc v bn giao cho ngnh in qun
BM-C-KM-02

Ngy ban hnh: 20/10/2006

l, Ch u t s bn giao cho ngnh in theo hnh thc tng gim vn (khng

hon tr vn) v cam kt thc hin y ng quy nh hin hnh ca Nh nc v
ca ngnh in v s dng in.
I DIN N V NG K MUA IN

BM-C-KM-02

Ngy ban hnh: 20/10/2006

BM-C-LKCS-03
.v ng k mua in

CNG HO X HI CH NGHA VIT NAM

c lp-T do-Hnh phc
____________________
.., ngy
thng nm 200..
BNG LIT K CNG SUT THIT B DNG IN
TBA s ___

Tn thit b

S lng

Cng sut
(kW)

Tng cng
sut
(kW)

Thi gian s
dng
(gi/ng
y)

H s
s

n
g

Ghi
Tng cng sut s
dng (kW)

n v ng k mua in
(K tn, ng du)
BM-C-KM-02

Ngy ban hnh: 20/10/2006

c
h

BM-C-KM-02

Ngy ban hnh: 20/10/2006