HARYANA RENEWABLE ENERGY DEVELOPMENT

AGENCY
( RENEWABLE ENERGY DEPARTMENT, HARYANA)

APPLICATION FORMAT FOR PURCHASE OF SPV HOME LIGHTING SYSTEM TO

BE SUBMITTED WITH THE OFFICE OF ADDITIONAL DEPUTY COMMISSIONER

1. Name of the beneficiary :

2. Father’s Name :

3. Official/Residential address :
___________________________

___________________________

___________________________
Telephone No.

4. Category : SC/ST/Others

5. Residential proof :
Ration card/identity card : ______________________________
No./passport no./other proof

Certified that I will not sell/lend/gift the above device supplied to me

under the Govt. subsidy programme.

I understand that violation of above should led to cancellation of my ration

card.

Signatures of the applicant

__________________________________________________________________
for office use only

Advance Booking receipt no.____________ date ________ amount______________

Final payment receipt no._____________date_________amount________________

Date of issue of device___________

Make of BOS___________________Sr.No._________________________

Make of Module_________________Sr.NO.________________________

Signature of PO/APO(IREP)
 ANNEXURE-I

APPLICATION FORM FOR SPV WATER PUMING SYSTEM

To
The Director
Haryana State Energy Development Agency,
SCO No. 48, Sector-26, Chandigarh.

SUBJECT:- APPLICATION FOR SANCTION OF MONOBLOCK DC SPV WATER

PUMP SET OF CAPACITY 1800 WATT.
Sir,

I wish to purchase above said pump for irrigation purposes in my agriculture land
through Haryana State Energy Development Agency. My particulars are as under:-

1. Name of the Beneficiary

2. Father’s Name
3. Village
4. Telephone No., if any
5. Post Office with Pin Code
6. Block
7. Tehsil
8. District
9. Land Holding
10. Water Table in the region during
summer (Meters)
11. Purpose Irrigation
12. Area proposed to be irrigated
13. Any pumps installed earlier under
SPV Water Pumping Programme:

(If yes, details with complete

installation address)

I hereby certify that I shall use this SPV Pump for irrigation purposes and shall
not sell or transfer this unit to any other purpose before ten years.
 I shall also abide by the terms and conditions of HAREDA/financial institution
through your organization under this scheme. The necessary borewell share shall be arranged
by me at my own cost as per site requirement.

The registration fee of Rs. 10,000/- in the form of Demand Draft No. _________
dated________ payable at ___________________ bank, Chandigarh is enclosed herewith.

I shall deposit the balance beneficiary share of Rs._________ through Demand

Draft No. in favour of Director, HAREDA payable at Chandigarh on the receipt of sanction of my
SPV Pump set.

Signature of the beneficiary

RECOMMENDATIONS OF DRDA

1. I have surveyed the above site and after careful site inspection, I recommended that the
above site is suitable for installation of _________ watt capacity pump set.

2. The scheme on SPV Water Pumping Systems has been explained including its capability
& limitations to the end-user and based on his willingness for the system & Site
Conditions. __________ watt capacity pump is suitable for his requirement of Water

Signature of concerned PO/APO

Name
Designation