iathdj.k izi=

REGISTRATION FORM

mÙkjk[k.M ty fo|qr mRiknu ij ty dj fo/ks;d 2012 ds vUrxZr iathdj.k gsrq izi=

1. / ty fo|qr ;kstuk dk uke
Name of Scheme / : / ------
2. / fLFkfr dk fooj.k
Details of Location / : / (1) / tuin ------
District:
(2) / rglhy@CykWd% ------
Tehsil/Block
(3) / xzke% ------
Village
(4) / utnhdh “kgj dk uke% ------
Nearest City
(5) / bUVsd@Intake
Latitude ……………………..…N
Longitude ..………………………E
(6) / fo|qr x`g /Power House
Latitude ……………………...…N
Longitude …………………………E
3. / LokfeRo dk fooj.k
Details of Ownership / : / ……………………………………
4. / i= O;ogkj dk fooj.k
Correspondence Details / : / (1) / uke ------
Name
(2) / irk % ------
Address
(3) / VsyhQksu @Telephone ……………………
QSDl@FAX ………………………
(4) / bZ esy ------
E mail
5. / ifj;kstuk ds izHkkjh vf/kdkjh dk uke ,oa in / : / (1) / uke ------
Name
Name and Designation of Project I/C / (2) / irk % ------
Address
(3) / VsyhQksu @Telephone ……………………
QSDl@FAX ………………………
(4) / bZ esy ------
E mail
6. / ifj;kstuk dk rduhdh fooj.k
Technical Details of Project / : / (1) / ;kstuk ds izkjEHk@Lohd`fr@izLrqfrdj.k dk o’kZ%
Year of Commissioning/Approval/Submission
…………………………………………
(2) / unh@csflu % ------
River/ Basin
(3) / ldy “kh’kZ % ------
Gross head
(4) / vf/kdre fMLpktZ] D;wesd ------Maximum discharge, cumec
(5) / vkSLkr okf"kZd fMLpktZ] D;wesd ------Average Annual Discharge, cumec
(6) / mRiknu {kerk@Generation Capacity
vf/kdre mRiknu {kerk]esxkokV@fdyksokV Maximum Generation Capacity, MW/KW
------
(7) / a.  fiNys rhu o’kksZ dk ekgokj okLrfod mRiknu] fefy;u ;wfuV
Monthwise actual generation for last 3 years, Million Units
(8) / fiNys rhu o’kksZ esa ekgokj fo|qr mRiknu gsrq iz;qDr ty dh ek=k] ?ku ehVj
Monthwise Volume of water used for generation in last 3 years, cubic metre

mijksDr izi= Hkjdj jftLVªs”ku gsrq :0 500.00¼:0 ikap lkS ek=½ dk cSad Mªk¶V] tks fd vf/k”kklh vfHk;Urk] vuqla/kku ,oa voLFkkiuk [k.M] nsgjknwu ds uke gks] layXu dj fuEu irs ij izsf’kr djus dk d’V djsa %&

v/kh{k.k vfHk;Urk ,oa uksMy vf/kdkjh

vuqla/kku ,oa voLFkkiuk e.My

;equk Hkou] ;equk dkyksuh]

nsgjknwu] mÙkjk[k.MA

Bank draft of Rs. 500.00(Rupees Five Hundred only) in favour of Executive Engineer, Investigation & Infrastructure Division, DEHRADUN shall be attached with duly filled proforma and the same shall be sent to the following address:

Superintending Engineer & Nodal officer

Investigation & Infrastructure Circle

Yamuna Bhawan, Yamuna Colony

Dehradun, Uttarakhand

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