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Field mark with [ * ] are mandatory
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Name Of Unit *
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Address *
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Mobile No *
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Office LandLine No
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Email Id *
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Name Of Contact Person *
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Contact Person Mobile No.*
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Present Fuel *
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Daily Consumption KG/LTR/KWH(UNIT) *
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Weekly Consumption KG/LTR/KWH(UNIT) *
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Monthly Consumption KG/LTR/KWH(UNIT) *
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Required Point (Nos)* |
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Usage Time (Hours)*
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Equipment Detail |
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Gas Pipeline Network Nearby Available?
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If Yes,Name Of The Society
Where Network Is Available
(Nearest Location) |
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Total No of Units in Society
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Gas Genset Requirement
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Present Electricity Load(Kvp/Hp)
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Required Capacity For Genset
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Trouble reading? click for the new image
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Enter the 5 digit validation code in capital from the image.*
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