Application Form for Inter-connection of Renewable Energy Facility

to the MERALCO Distribution Grid

Name: Address:

Contact Person:

Telephone Number:

Service Point Address:

Information Prepared and Submitted by (Name and Address):

Signature:

All applicable items must be accurately completed in order that facilities may be effectively evaluated by
the Company for interconnection with the utility system.

GENERATING FACILITY
No. of Units:___1 UNIT____

Manufacturer:____CHINA_____

Type (Synchronous/Induction/Inverter):___SYNCHRONOUS INVERTER___

Fuel Source Type (Solar, Biogas, Wind, etc.): __SOLAR___

kW Rating (95F at location): ___3KW___

Kilovolt-Ampere Rating (95F at location):___3KVA____

Power factor:___0.8____

Voltage rating: __220/230/240 V__

Ampere Rating: ___14amps__

Number of Phases: Single Phase

Frequency: __60HZ__

Do you plan to export power: √ Yes No

 If yes, maximum amount expected PHP 2000.00

Pre-Certification label or Type Number:_VDE 0126 / VDE4105 / G98 / G99 / AS4777/EN50438

Expected Energizing and Start-up Date:_______________________________

Normal Operation of Interconnection (examples: provide power to meet base load, demand
management, stand-by, back-up, others (please describe): 120 seconds stand-by normal operation
of interconnection to the grid.

One-line diagram attached ? √ Yes

Has the Manufacturer supplied its dynamic modelling values to the DU? √ Yes (Note that answer here
requires “Yes” for complete application. For Pre-certified Equipment, answer is Yes.)

Layout sketch showing lockable, “visible” disconnect device. Yes

Company ---------------------------------------------------------- Customer Name

By: By:

Title: Title:

Date: Date: