BUILDING – RTC Depots – ANDHRA PRADESH STATE ENERGY CONSERVATION AWARDS 2024


                        
                            
                        
                        
1. Name of the Building*
2. Name of the Owner/CEO/Director*
3. Type of Ownership/ Occupancy type (Whether Government/ private/ Local Self Government)*
4. Type of Building/Activity*
5. Address
6. Tel. No. with code - Owner
6a. Details of Co ordinating person with regard to the application along with contact details
7. Email
                            
                        
8. Website
                    
                
9. Mobile No.
10. Total Plot/ Land Area (m2)
11. No. of Blocks
11a. No. of Floors
12. Mention whether Certified Green Building or BEE star rated or ECBC complied (attach proof)
12.a Attach Proof in pdf format
13. Whether applied for any GHG emission reduction program. If yes submit the summary of expected CO2 reduction per year
14. Building Area and Connected Load
14.1 Total Built up Area (in m2)2021-22 2022-23 2023-24
14.2 Air-conditioned area (in m2)2021-22 2022-23 2023-24
14.3 Non-Air-conditioned area (in m2)2021-22 2022-23 2023-24
14.4 Average Occupancy rate  (in Numbers)2021-22 2022-23 2023-24
14.5 Total Connected Load (in kW)*2021-22 2022-23 2023-24
14.6 Maximum Contract Demand (kVA)2021-22 2022-23 2023-24
14.7 Average Recorded Maximum Demand in kVA2021-22 2022-23 2023-24
14.8 Electricity Tariff Category/ Slab (HT/LT)  Please specify Details2021-22 2022-23 2023-24
14.9 Building operating hours (timings per day)2021-22 2022-23 2023-24
15 Energy Consumption (Energy used (Annual))
15.1 Electricity Purchased (in kWh)2021-22 2022-23 2023-24
15.2 Self-generated (if more than one source, may add extra rows mentioning the type of source in kWh )2021-22 2022-23 2023-24
15.3 If Self-generated is not totally consumed then Energy exported (if Not Exported, specify as NIL) in kWh2021-22 2022-23 2023-24
15.4 Total Electricity Consumption  = (15.1+ 15.2) - (15.3)2021-22 2022-23 2023-24
15.5 Specific Energy Consumption w.r.t total built up area,  Total Electricity consumption/ Total built-up area (15.4/14.1)2021-22 2022-23 2023-24
15.6a Type of Energy used other than electricityYes
No
15.6b If Yes, Type of fuel
15.6c Fuel wise Consumption  (mention the units)2021-22 2022-23 2023-24  
      
16. Last energy audit conducted on:
16.1 Last energy audit conducted by: (Give name and address of Energy Auditing firm)
16.2 Frequency of Energy Audit: Note: (Please mark 🗹 from the options given)Once in a year
Once in two years
Once in three years
17. Details of Energy Manager (If BEE Certified furnish the details)Name EA/EM No. Designation E-mail Telephone
18. Energy conservation activities undertaken during the last 3 years
18a. Energy conservation activities undertaken during 2021-22Project/Program/Activity Title Investment  (Rs. lakhs) Annual Savings Electricity (kWh) Annual Savings Fuel  (Litres) Total  cost savings  (Rs. Lakhs)  
      
18b. Energy conservation activities undertaken during 2022-23Project/Program/Activity Title Investment  (Rs. lakhs) Annual Savings Electricity (kWh) Annual Savings Fuel  (Litres) Total  cost savings  (Rs. Lakhs)  
      
18c. Energy conservation activities undertaken during 2023-24Project/Program/Activity Title Investment  (Rs. lakhs) Annual Savings Electricity (kWh) Annual Savings Fuel  (Litres) Total  cost savings  (Rs. Lakhs)  
      
19 Have you received any energy conservation awards in last 3 years? If yes, mention the year and details
20 Details of training programs/campaigns in energy Conservation organized/conducted in 2023-24 (mentioned the title here and attached the relevant document)
20.a  Attach the relevant document in pdf format
21 Details of innovative technologies implemented for energy conservation including utilization of renewable energy projects. (Mentioned the title here and attached the relevant document)
21.a Attach the relevant document in pdf format
22 Any Environmental or Safety related hazards happened in your building premises from the year 2023-24
Applicant has to attach the following details 
•	Unit Profile (100 words)
•	Energy Management Policy, if any
•	Energy conservation cell / department /section structure (Hierarchical Chart)
•	Detailed Electricity bill, for Years ( 2021-22, 2022-23, 2023-24)
•	Major Energy Conservation Projects Implemented during the Year 2023-24 and benefit accrued (brief description with photo)
•	Other energy related projects implemented during 2023-24 and benefit accrued (brief description with photo)
•	Details of Renewable energy projects with the Total Installed Power (in kW) 
•	Energy Conservation future Plans and Targets (for 2023-24)
•	Details regarding Environment and Safety – any certifications received please attach the copies of the same
•	Attach the copies of all the details mentioned in the application as proof
22.a Upload Documents (as a single pdf)
Consent* It is to certify that the enterprise/organization is presently following all the statutory requirements pertaining to the safety and pollution control and the facts stated above are true and correct to the best of my knowledge and belief.
Date & Place*
Name & Designation*