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Appendix-I

tkmfmÀ hm«À loäÀ cPnkvt{Sj³ t^mdw


2013þ14 kvIow
Pnñ:

1 At]£Isâ t]cv :
(Xncn¨dnbð ImÀUnð
tcJs¸Sp¯nbn«pÅXp t]mse)
2 GXv hn`mK¯nðs¸Sp¶p :
(hoSv/Kh.Øm]\w/ AÀ² Kh.
Øm]\w)
3 taðhnemkw (]n³tImUv/t^m¬ \¼À :
klnXw)

4. GsX¦nepw t^mt«m sFUn ImÀUnsâ :


tIm¸n DÅS¡w sNt¿ïXmWv.
{]kvXpX ImÀUv GsX¶v
tcJs¸Sp¯pI
4 GXv Xcw tkmfmÀ hm«À loäÀ (SWH) :
BWv Øm]n¡m³ Dt±in¡p¶Xv:
(ETC/FPC)
5 hoSv :(100 LPD/200 LPD) :
I¸mknän Kh. Øm]\w/AÀ² Kh.
Øm]\w (Any Capacity) :

km£y]{Xw
tI{µkwØm\ kÀ¡mcpIfpsS k_vknUntbmSp IqSn Rm³ CtXhsc tkmfmÀ
hm«À loäÀ Øm]n¨n«nñ F¶v CXn\mð km£ys¸Sp¯p¶p.
XobXn: H¸v
Øew:

N.B: cPnkvt{Sj³ t^md¯ns\m¸w Acknowledgement Slip, ID ImÀUnsâ ]IÀ¸v, 5 cq]Ìm¼v


]Xn¸n¨ kz´w taðhnemkw FgpXnb IhÀ (22cm x 10cm) F¶nh kaÀ¸n¡pI.

For Office use only


ACKNOWLEDGEMENT SLIP
Reg.No.:

Date:
ACKNOLODGEMENT SLIP

Your Application for Solar Water Heater under the ‘Solar Water Heater
Programme 2013-14’ has been received. The following Registration No. has
been allotted to your application. Please quote this Registration No. in all your
future correspondences.

Registration No. :

Date of Registration :

Type of the system :

Capacity of the system :

Last Date for Installation :

(To be filled in by ANERT)

DIRECTOR
ANERT
Vikas Bhavan P.O
Thiruvananthapuram

To

(Applicant has to write the full postal address with PIN


in BLOCK letters in the box above)

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