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Schedule-A: Application Form for Registration of Electric Vehicles Charging Infrastructure (EVCI)

Please Select Purpose of The Application Before Filling the Form Untitled title in this section customer has to mark the exact Purpose for which this application has to be submited

EV Charging Station Registration

Battery Swapping Station Registration

Both

Section I. Use of the EV Charging Station / Battery Swapping Station

Select whichever is applicable

Public Use

Private Captive Use

Section II. Applicant Details

1. Name of the Applicant (Company/Individual)

2. Company Registered under (not required for individuals)

3. Complete Address of the Company/Individual

4. Details of the Person(s) authorized to apply on behalf of Company/Individual

a) Full Name

b) Designation

c) Landline Number

d) Mobile Number

e) Email

5. NTN Number of Applicant

6. GST Number of Applicant

IX. Declaration

Select whichever is applicable

I/We certify that all information furnished is true to the best of our knowledge

I/We abide by the rules and regulations, terms and conditions laid down by NEECA or any other Government departments

I/We will submit the required information and give access to our EV charging infrastructure site as and when required

Schedule-A: Application Form for Registration of Electric Vehicles Charging Infrastructure (EVCI)

Section I. Use of the EV Charging Station / Battery Swapping Station

Section II. Applicant Details

IX. Declaration

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