Name*:
Contact number*:
Email
Meter requirements: The number of electricity (single & 3-phase) & water meters required*:
Installation : Is it existing or new infrastructure?*:
Meter data management : Number of meters / Pre-paid or Conventional*:
Comments
Audit Required : If NO fill in form below: YesNo
LED - Colour replacement, Lux levels:
Lighting Inventory : Count per Technology, Wattage (pdf/docx/xlxs | max 5MB)*:
Scope of work: e.g. 1 to 1 placement VS lightening studies*:
Pricing options required : (PPA VS Self-funded)*:
Burn Hours : Weekdays
Burn Hours : Weekends
Scope of work*:
Choose: Existing BuildingNew Development
Building Type*:
Building size (m²/ stories):
Existing Green Star Rating*:
Desired Green Star Rating*:
Waste management system in place:
Renewable energy solutions already in place:
Physical address (building location)*:
Existing Building : (if yes provide water use inventory of the existing building ): YesNo
Physical address of water meter*:
Municipal bills for 12 months (pdf | max 5MB)*:
Records of any maintenance operations:
Water audits possibly carried out in the past: (if yes provide)* YesNo
Upload a File (pdf/docx | max 5MB):
Possible water budgets available in order to provide a high-quality plan for the client according to his vision*:
Will the client consider water treatment solution* YesNo
Expected water saving*:
Date of completing this questionnaire*: Site Name*:
Site Location*: Contact Person*: Contact Cell Number *: Contact Email Address: Supply Utility (e.g. Eskom, Tshwane Municipality): Do you perhaps know what is the average Power Factor of your Site? *: YesNo
Electricity Tariff
Are you billed for kVA Demand? *: YesNo What is your monthly Maximum kVA Demand (from your bills)?:
Are you billed for Excess Reactive Energy (kVArh)? *: YesNo
Are you metered on the MV or LV side of the supply Transformer? MVLV
If you are metered on the MV side, what is the supply voltage?
Existing PFC System(s)
Do you have an existing PFC System(s) installed? YesNo
If YES, how many PFC Systems are installed?: If YES, is it on the MV or LV side of the supply Transformer?: If YES, is it in working order?:
If you do NOT have an existing PFC System:
How many Supply Transformers are in your facility? Please give the kVA rating of each of these Transformers Do you have 30-minute historical load data (kW, kVAr) available as measured on each of your Incomers? YesNo If NO, do you have a Metering Service Provider that has 30-minute historical load data (kW, kVAr) available as measured on each of your Incomers? YesNo If YES, can you share the historical load data with us? YesNo
Customer Name*: Contact Number *: Email Address:*:
Electricity Metering Details Manufacturer Meter Type Single phaseThree phase Model Number Quantity Supply Voltage Existing or New ExistingNew Prepaid or Postpaid PrepaidPostpaid Location
Water Metering Details Manufacturer Model Number Quantity Pipe Size(mm) Hot or Cold water HotCold Existing or New ExistingNew Prepaid or Postpaid PrepaidPostpaid Location
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