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RE1

RENEWABLE ENERGY SERVICE


PROVIDERS
REGISTRATION FORM

Please submit the completed form to:

ZIMBABWE ENERGY REGULATORY


AUTHORITY
14th Floor Century Towers
45 Samora Machel Avenue
P.O Box CY308 Causeway
HARARE

Tel: +263 4 780010, 772 550, 799 796, 253 461, 799 797
Fax: +263 4 250696
E-Mail: admin@zera.co.zw
Website: www.zera.co.zw

Tel: +263-4-780010, 253461


Fax: 263-4-250696
E-Mail: admin@zera.co.zw
Website: www.zera.co.zw
REGISTRATION FORM FOR RENEW ABLE ENERGY SERVICE PROVIDERS

A-1 Companys Details


Registered Name of Company_________________________________________________
Company Registration Number_______________________________________________
Date of Incorporation_________________________________________________________
Date of Commencement of Business__________________________________________

A-2 Office address and physical location


Postal Address_______________________________________________________________
Telephone #________________________________Fax # ____________________________
Website address (if any) ______________________________________________________

House/Stand Number _______________________________________________________


Street Name__________________________________________________________________
Town/City_______________________________Province____________________________

A-3 Contact person


Name________________________________________________________________________
Position______________________________________________________________________
Business address ____________________________________________________________
Telephone #______________________________Fax # ______________________________
E-mail address _______________________________________________________

A-4 Nature of Business / Principal Activity

1. _______________________________________________________________________

2. _______________________________________________________________________

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A-5 Type of Renewable Energy Technology: (check all that apply)

Solar Energy W ind Energy Biomass Hydro Power

Solar Photovoltaics Small Wind Biogas Pico Hydro (10kW)


Solar Batteries Turbines Biofuel Micro Hydro (10kW-100kW)
(100kW)
Solar water Bio-refinery
pumping/irrigation Wind Pump Briquettes
Solar Lanterns Bagasse
Solar Water Heaters Pellets
Solar Collectors Charcoal
Solar Dryers Gasification
Solar Cookers

Others, please specify

A-6 Type of Business: (check all that apply)


Electricity Generation and Supply
Importation of Renewable Energy Products
Installation and Maintenance
Manufacturing and Assembling
Biofuel Production
Bulk Biofuel Transportation
Bulk Biofuel Storage
Biofuel Export
Charcoal Production
Bulk Charcoal Transportation
Charcoal Wholesale/Storage
Charcoal Export
Briquettes Production
Pellets Production
Briquettes Export
Pellets Export
Financing of Projects
Consultancy
Others, please specify

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A-7 Data
(Please fill 1 6 where appropriate, and 7.)

1. Renewable Energy Products Production


1a. Bio-Energy Products (Biofuel, Briquette, Charcoal, Firewood, Pellets, etc)

Buyer
Location Quantity
Period of Source of Type of
of produced
Production Feedstock Feedstock
Production (litres/kg) Company Quantity
Site (litres/kg)

1b. Solar/Wind/Mini-Hydro Products (Lanterns, Panels, Turbines, Inverters,


Charge-Controllers, Batteries, Hydro Generator, etc)

Location of Quantity Buyer


Period of Type of
Production Produced (in
Production Product
Site a year) Company Quantity

2. Installation of Renewable Energy Technologies (Photovoltaics, Solar thermal, Wind


Turbines, Biogas Plant, Biofuel Processing Plant, etc)
Type of
Grid- Capacity of Solar Information on Client
Date of Type of
connected or Installation Modules/ (Name, Location,
Installation Technology Biogas
Stand-alone (W or m3) Address, Tel & Email)
System,etc

3. Importation of Renewable Energy Products (Lanterns, Panels, Turbines, Inverters,


Charge-Controllers, Batteries, Hydro Generator, Biofuel, Biogas systems, Briquette,
Charcoal, Pellets, etc)

Capacity & other Country


Date of Type of
Quantity Characteristics of Manufacturer products are
Import Technology
Products (W or m3) imported from

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4. Export of Renewable Energy Products (Lanterns, Panels, Turbines, Inverters,
Charge-Controllers, Batteries, Hydro Generator, Biofuel, Biogas systems, Briquette,
Charcoal, Pellets, etc)

Capacity & other


Date of Type of Country of
Quantity Characteristics of Manufacturer
Export Technology Destination
Products (W or m3)

5. Financing
Type of Finance (Donor,
Amount Disbursed Beneficiary Year
Loan, Equity, Grant, etc)

6. Consultancy
Type of Consultancy Clients

7. Technical Personnel Information


Year skill was
Name of Staff Position Qualification
acquired

SIGNATURE___________________________________ DATE_________________

Designation___________________________________

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