To
The Director
Gujarat Energy Development Agency
Udyog Bhavan, block No:11/12, 4th Floor,
Sector-11, Gandhinagar
Sub: Application for Subsidy for Installation Domestic Solar
Water Heating System under GEDA DWHS Subsidy Scheme 2007-08
Sir,
I intend to install a Solar Water Heating System at my residence for
which I have selected a GEDA authorized SWHS manufacturer of my
choice at a mutually agreed system cost. You are requested to
consider my Application for sanction of subsidy as per the norms of
the Scheme.
| Name & Address of the
Applicant |
: |
________________________________
________________________________
________________________________
________________________________
Pincode : __________________ |
|
Telephone No.
Fax/Email Address |
: : |
_________________ _________________ |
| Proof of Residence |
: |
Attach a original copy of latest Electricity Bill in the
name & above address of the applicant.
Consumer No. _________________
Meter No. _____________________
|
| Shadow-free Area available
for system installation |
: |
Yes / No
If
answer is "No" mention an alternative arrangement.
|
| Availability of Cold Water |
: |
Yes / No
If
answer is "No" mention an alternative arrangement.
|
Capacity of Roof-top Cold
Water Storage Tank
|
: |
________________ litres |
|
Capacity of DWHS proposed & no. of users (family members)
|
: |
________________ litre per day (LPD)
________________ members
One / Two
One / Two /__________
_________ metres |
Present Source of Hot Water
|
: |
Electricity / LPG/ NG/ Wood/Others _______ |
|
Name & Address of SWHS Manufacturer selected
|
: |
M/s ____________________________
________________________________
________________________________
________________________________
|
System Cost including
installation & commissioning
|
: |
Rs.
_______________ |
I have carefully
read and understood the “terms & conditions” of the Scheme
and signed the Undertaking in acceptance of the same.
Undertaking duly signed by me is attached herewith. I
understand that in case of violation of any of the terms &
conditions of the Scheme the subsidy can be withdrawn and
legal action can be taken against me.
|
|
______________________
Signature of the Applicant
|
|
Date : _________________
|
|
______________________
Signature of the Manufacturer
|
|
Date : _________________
|
--------------------------------(For Office Use)-------------------------------
| 
