A-1 Applicant/Company intends to be licensed for the service of: (check all that apply)
Wholesale Electricity Supply
Electricity Transmission
Electricity Distribution
Embedded Electricity Generation
A-2 Applicant/Company legal name, postal address, telephone number and website address
Legal Name
Postal Address
Telephone
Fax
Website Address(if any)
A-3 Office location address
House/Plot Number
Street Name
Town/City
Region
A-4 Contact person for regulation matters
Name
Title
Business Address
Telephone
Fax
Email
A-5 Customer Segment(Check all that apply)
Generation Company
Transmission Utility
Distribution Company
Bulk Customer
Industrial, Commercial and Residential
A-6 Location of plant where applicant intends to establish generation service (Generation License)
Community
Town/City
District
Region
A-7 Provide the approximate start date that the applicant proposes to begin delivering services
Start Date
A-8 Duration in years of license
Number Of Years
Application Date