To

Executive Engineer, Electrical Inspectorate,

Faridabad, Haryana

Details of Electrical Installations offered for Inspection of New Electrical

Installations/Existing Electrical Installations.

Name & Address of consumer/installation:

Electricity Connection Account No. :
Load Sanction/Electrification Scheme
Approval reference no.
1.C o n n e c t e d L o a d : SL-2100KW, CD-2100 KVA
2.Capacity of Transformers : As per inspection report attached
3.Capacity of Generating Sets : As per inspection report attached
4.Capacity of Solar System : Proposed(1×300KWp)
5.No. of Lifts. if any (Passenger/Goods) : NA
6.Name of owner/authorized person of : (Executive Director)
Organization with telephone/mobile No :
7.E-mail address of the firm :
8.State whether all the observations made : NA
During last inspection have been attended?

UNDERTAKING
We undertake that we shall maintain and operate the installations in a condition free from danger and as
recommended by the manufacturer and/or by the relevant Code of Practice of the Bureau of Indian Standards.

Signature of owner/authorized
signatory with seal

Enclosures:
1. Requisition Form A-2/B-2
2. Completion & Test Report issued by Licensed Electrical Contractor.
3. Invoice & Test certificate of the apparatus (T/F & D.G Set).
4. Single Line Diagram.
5. Demand Notice/Load Sanctioned Letter.
6. Fire NOC.
7. Inspection fees Treasury Challan deposited through www.hrtreasures.gov.in