FORM "A" [See rule (| {pplication for registration by a person intending to genvrate or intending tw continue generation of energy exclusively for his own use Kite vhy-¢ Nae tovbia nl addres, ofthe person owing. uae ty Clan CLuebie Gab o.dae Senasnieds | ae the set is used or is intended to be used, IB} = £6852 nos. of work at Description of the (Make = CUMS Gi) Installed Capacity YOR A Gi) Fim Capacity B\OKN A iv) Whether thermal / diesel sola = wind. et, ipvp-ul ypu.ud cL fall ww Date of purchase / Date ofhire with initial \B POD | DOVA y, punt 5 [reading — OF = 6 _| Date of Commencement of Generation J\o]20\4_ _ 7 | Average daily consumption aso 400 Wie (is. Number of units of energy. generated). Purpose for which the set is used or is imendad 7 8 | tobeuse heal Sten by Residencial’ Commercial Industrial’ CPP IPP ,Co-Gen. , Renewable ‘Whether the set is used at one fixed place or intended to be sified Trom place to 9 | place = Fixed at one pla To | Rematks applicant may inlude here any ditional = al reading of encray meter — © A 11 | i CTT Radio accuracy CTPT =~ (6OOTSA iif)Class of CT/PT iv)Details of Testing of Ener received electrical supply with bill number. ‘Name of the supply company from whom you is oF existing generating sets with install = QYOWV \uira Stabe Bheascl tp By ish. Co. Ud 2 m ment or ciiaiannnbe F/O 12018 [MF ifany ME 920 Mane of Conner Peon, Ema aaines WA Top oy PARSCK 'S | Const pa webs Te | Dewi of Generation pemisionby T5260 23)090140] P10 | Signature of the Applicant with Name & CoSeal Dated Mob. No. Email 1D :