Form No.

EEC Form 4D

Form Title AEUR for Other Establishments

Republic of the Philippines

DEPARTMENT OF ENERGY
Energy Utilization Management Bureau

EEC FORM 4D
ANNUAL ENERGY UTILIZATION REPORT (AEUR)
OTHER DESIGNATED ESTABLISHMENTS

FY 20__

Name of Establishment
Address
Type of Business
Inclusive Dates of Submission (Choose Month) (Choose Year) to (Choose Month) (Choose Year)

Total Number of Employees No. of Male No. of Female

PART A.
ENERGY CONSUMPTION IN BUSINESS ACTIVITY AREA1
Activity Area (sq. m.)
No. Fuel/Energy Type Unit
Area 1 Area 2 Area 3 Area 4 Area 5 Area 6

1 Elecctricity kWh

PART B.
ACTIVITY AREA1
Activity Area (sq. m.)
No. Particulars Unit
Area 1 Area 2 Area 3 Area 4 Area 5 Area 6

1 Floor Area m 2

2 Hours of Operation hours

3 Hours Shutdown hours

Rated Stream Hours (Hours

4 of Operation in One Full hours
Year)

Note 1
Use another sheet provided if needed.

PART C.
ELECTRICITY GENERATION

Consumption Hours of Generated

No. Generating Units Capacity Rating Unit Fuel Type Unit Unit
Quantity Operation Electricity

1 Generator Sets kW Diesel L kWh

2 Solar PV kW Solar kWh

Total 0.00 0.00 kWh

PART D.
STEAM/HOT WATER GENERATION

Water Heating Capacity Consumption Hours of Steam/Hot Water

No. Qty. Fuel Type Unit Unit
Units (kg/hr) Quantity Operation Generation

1 Boiler Diesel L m3
Electric Water
2 Electricity kWh m3
Heater
Solat Water
3 Solar m3
Heater

Is the establishment purchasing Yes Total 0.00 0.00 m3

cooling load from District Cooling
System (DCS) ? No
If yes, indicate the DCS operator
 PART E.
ENERGY CONSUMPTION IN TRANSPORTATION

No. Fuel Type Quantity Unit Activity

1 Diesel L

2 Gasoline L

3 Electricity kWh

PART F.
ELECTRICITY UTILIZATION AT AUXILIARY SERVICE AREA1

No. Energy Type Unit Service Area 1 Service Area 2 Service Area 3 Service Area 4 Service Area 5 Service Area 6

1 Electricity kWh

PART G.
STEAM/HOT WATER UTILIZAION AT AUXILIARY SERVICE AREA1

No. Energy Type Unit Service Area 1 Service Area 2 Service Area 3 Service Area 4 Service Area 5 Service Area 6

1 Steam MT

Note 1
Use another sheet provided if needed.

PART H.
PURCHASED ELECTRICITY

No. Distribution Utility Energy Consumption Unit Start Date to End Date

1 kWh to

PART I.
ELECTRICITY UTILIZATION

No. Particulars Electricity Consumption Unit

1 Activity Area kWh

2 Auxilliary Service Area kWh

3 Losses kWh

Total 0.00 kWh

PART J.
STEAM/HOT WATER UTILIZATION

No. Particulars Electricity Consumption Unit

1 Activity Area kWh

2 Auxilliary Service Area kWh

3 Losses kWh

Total 0.00 kWh

 PART K.
WASTE OIL UTILIZATION

No. Particulars Quantity Unit

1 Waste Oil Collected L

2 Waste Oil Sold L

3 Waste Oil Recycled L

4 Lube Oil Consumption L

Prepared by Approved by

(Signature) (Signature)

[Name] [Name]

[Position] [Position]

[Department/Unit] [Department/Unit]

[Contact Number] [Contact Number]

[E-Mail Address] [E-Mail Address]

[Date Accomplished - dd/mm/yyyy] [Date Accomplished - dd/mm/yyyy]

 Form No. EEC Form 4D

Form Title AEUR for Other Establishments

Republic of the Philippines

DEPARTMENT OF ENERGY
Energy Utilization Management Bureau

EEC FORM 4D
ANNUAL ENERGY UTILIZATION REPORT (AEUR)
OTHER DESIGNATED ESTABLISHMENTS

FY 20__

ENERGY CONSUMPTION IN BUSINESS ACTIVITY AREA

Activity Area (sq. m.)

No. Fuel/Energy Type Unit
Area 7 Area 8 Area 9 Area 10 Area 11 Area 12

1 Elecctricity kWh

ACTIVITY AREA

Activity Area (sq. m.)

No. Particulars Unit
Area 7 Area 8 Area 9 Area 10 Area 11 Area 12

1 Floor Area m2

2 Hours of Operation hours

3 Hours Shutdown hours

Rated Stream Hours (Hours

4 of Operation in One Full hours
Year)

ELECTRICITY UTILIZATION AT AUXILIARY SERVICE AREA

No. Energy Type Unit Service Area 7 Service Area 8 Service Area 9 Service Area 10 Service Area 11 Service Area 12

1 Electricity kWh

STEAM/HOT WATER UTILIZAION AT AUXILIARY SERVICE AREA

No. Energy Type Unit Service Area 7 Service Area 8 Service Area 9 Service Area 10 Service Area 11 Service Area 12

1 Steam MT