Republic of the Philippines

ENERGY REGULATORY COMMISSION

12/F Pacific Center Bldg.
San Miguel Avenue, Pasig City

COC No. __________________

Application No. ___________
Date Filed ________________

APPLICATION FOR QUALIFIED END-USER (QE) – COC

 Residential
 Commercial
 Industrial
 Public Buildings

1. INFORMATION ON THE APPLICANT:

Name of Owner: ___________________________________________________________________
Address:
Number & Street: City/Town:
Province & Zip Code:
Website (if available):
mmCCCCCodCCode:
E-mail Address:
Tel. No : ( )
Fax No : ( )

1.1 Business Name, if applicable:

Type of Organization:
Business Address:
Number & Street: City/Town:
Province & Zip Code:
Website (if available):
mmCCCCCodCCode:
E-mail Address:
Tel. No : ( )
Fax No : ( )

1.2 Authorized Representative to ERC:

Name and Title:
Address:
Telephone: ( )
Fax No.: ( )
E-mail Address:
Cellphone No. :

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Name of Generation Company/Facility: ___________________________________________________________________

2. GENERATING FACILITES OWNED: Number of Units ___
2.1 EXISTING FACILITIES
UNIT NO. 1 UNIT NO. 2 UNIT NO. 3 UNIT NO. 4 UNIT NO. 5
Exact Location of Inverters
Commissioning Date/Installed*
Economic Life
Inverter
Manufacturer
Serial No.
Rated Capacity
Modules (Solar Panel)
Module Capacity (per panel)
Voltage
Frequency
Power Factor
Rated Capacity
Dependable Capacity
No. of Panels Connected

DGR\MACB_C:\Users\rmgarcia.ERC\Documents\ERC\6. References\Forms\COC Application Forms\Form 1.doc

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