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FORM 1

Date Filed: *
Applicant Type: SGF>1

Business/Company Name: *
Type of Organization: *
Bussiness Address - No. & Street: *
City/Town: *
Province: *
Zip Code:
Website (if available):
Email Address: *
Tel. No.: *
Fax No.:

Chief Executive Officer of the Company


Name: *
Telephone No.: *
Fax No.:
E-mail Address: *
Mobile No.:
ID No. 1:
ID No. 2:

Authorized Representative
Title: * Please select from dropdown
Name: *

Address:
*
Telephone No.: *
Fax No.:
E-mail Address: *
Cellphone No.:
ID No. 1:
ID No. 2:

Mode of Payment: * Please select from dropdown


Delivery Method: * Please select from dropdown
EXISTING FACILITIES
COC Number: *

Name of Generation
Company/Facility: *

Plant Address: *
Type of Plant: * Please select from dropdown
No. of Units 0 (This field is auto-computed)
Aggregate Capacity (kw): 0 (This field is auto-computed)

Engine Generator* Turbine

Unit Name and Exact Economic Life Unit of


Unit Name Date/Installed* Rated Rated Rated
Location of Genset* (yrs)* Power Measure
Manufacturer Model Type Serial No. Speed Capacity Manufacturer Serial No. Speed Voltage Frequency Capacity Fuel Manufacturer Serial No. Speed Type Capacity
Factor (kVa/KW/
(KW) (KW) (KW)
MW)
MW
###
###
###
###
###
###
###
###
###
###
###
###
###
###
For additional units, please insert row above.

FACILITIES TO BE INSTALLED W/IN THE NEXT 5 YEARS


Reliable Fuel (Diesel/Gas Commisioning
Name of Facility Location No. of Units Installed Capacity Economic Life
Capacity etc.) Date
FORM 2
Company Name:
Registrations/Accreditations/Compliance Certificates/etc.
Government Agency Document Issued Reference No. Date Issued
DOE
SEC
DTI
BOI
DENR 1. ECC
2. PTO
PEZA
Others (pls. specify)

Latest Financial Profile


No. of Shares Par/Stated Value Amount (PHP)
Authorized Capital Stocks
Total Subscribed Capital
Total Paid-up Capital

Note:

Name of person who provided the above information:


Date Accomplished:
Res. Cert. No./Passport (if Foreigner):
Date Issued:
Placed Issued:
FORM 3
Facility:
A. Technical Data

KWH
Fuel KWH KWH Loss or Average Hrs of
2009 KWH Sold Company Fuel/KWH Operation
Consumption Generated unaccounted Peso/KWH
Use
January
February
March
April
May
June
July
August
September
October
November
December
Total 0 0 0 0 0 0 0 0

KWH
Fuel KWH KWH Loss or Average Hrs of
2010 KWH Sold Company Fuel/KWH Operation
Consumption Generated unaccounted Peso/KWH
Use
January
February
March
April
May
June
July
August
September
October
November
December
Total - - 0 - 0 0 0 0

KWH
Fuel KWH KWH Loss or Average Hrs of
2011 KWH Sold Company Fuel/KWH Operation
Consumption Generated unaccounted Peso/KWH
Use
January
February
March
April
May
June
July
August
September
October
November
December
Total 0 0 0 - 0 0 0 0

B. Operating Expenses

Repairs and Administrative


2009 Depreciation Maintenance and General Others Total

January -
February -
March -
April -
May -
June -
July -
August -
September -
October -
November -
December -
Total 0 - 0 0 -

Repairs and Administrative


2010 Depreciation Maintenance and General Others Total

January 0
February 0
March 0
April 0
May 0
June 0
July 0
August 0
September 0
October 0
November 0
December 0
Total 0 - 0 0 0

Repairs and Administrative


2011 Depreciation Maintenance and General Others Total

January -
February -
March -
April -
May -
June -
July -
August -
September -
October -
November -
December -
Total - - - - -

C. Fuel Base Prices and Heat Rates

Plant Peso/Million
2009 Efficiency BTU BTU/KHW Peso/KWH

Bunker
Diesel
Steam
Coal
Others
Others
Others

Plant Peso/Million
2010 Efficiency BTU BTU/KHW Peso/KWH

Bunker
Diesel
Steam
Coal
Others
Others
Others

Plant Peso/Million
2011 Efficiency BTU BTU/KHW Peso/KWH

Bunker
Diesel
Steam
Coal
Others
Others
Others

Schedule of Loans:
Schedule of Loan Ammortization:
Actual Cost of Plant in Service:

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