Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.

com

TO,
Date:
Raj Energy services,
Bhilai,
Page 1 of 17

Preliminary Data Form

Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

Energy Study / Energy Audit

We submit herewith the following information in order to assist you to define the scope of
work and your offer.
Name of the Company
Address

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

Telephone
Fax
E Mail
Name of the CEO / Managing Director
Name of the Contact Person
Is Company is certified with any System
certification like ISO 9000/14000
(Please specify the type of certification & Name

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

of the certifying Body)

Product Manufactured / Service Provided
Capacity of the Plant
Contract demand in KVA
Maximum demand in KVA

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

Energy Consumption of last month (KWH)

Connected load in KW
PF of the system
Electricity Bill paid for that month
(Consumption / month in kiloliters)
Coal

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

Diesel
LDO
Kerosene
Any other fuel (Please specify)
Average Total Energy Cost in Rs. / Month
(Electrical + Thermal)
1. Boilers Please specify
a) Quantity

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

b) Oil Fired / Coal Fired

c) Capacity of the Boiler
2. Steam Piping - Please specify
a) No. of Traps
b) No. of Valves
c) Size / Any other details
3. Furnaces Please specify
a) Quantity

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

b) Fuel Used
4.

c) Capacity
Compressors Please specify
a) Quantity
b) CFM

c) Motor Rating / Make

5. Pumps Please specify
a) Quantity & Type

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

b) Head & Flow (Rated Duty Point)

c) Motor Rating of Pumps
6. Blowers Please specify
d) Quantity
e) CFM of Blower
f) Motor Rating of Blowers
7. Vacuum Pumps - Please specify
a) Quantity

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

b) Motors Rating / Make

c) Type of Pump
8. D.G. Sets - Please specify
a) Quantity
b) Capacity of each Genset in KVA
9. Captive Power Plant
a) No. and Capacity
10. Heating & Ventilation System (Including
Humidification)

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

g) Quantity
h) CFM of Blower
i)

Motor Rating of Blowers

j) Motor Rating of Pumps

11. Refrigeration / Air Conditioning System
Please specify
a) No. of Compressors & TR Rating
b) Motors Rating / Make

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

c) Cooling Plant Motor Details

12. Cooling Towers Please Specify
a) Quantity & Type
b) Capacity (m3/hr) / TR Rating
13. Motors (above 5 HP) Please specify
a) Quantity with HP
14. Capacitors - Please specify
a) Quantity
b) KVAR

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

c) Connected with
15.
Transformers - Please specify
a) Quantity
14.

b) Capacity in KVA
Connected Lighting Load

Running Lighting + AC load

15. Information regarding Energy Audits
previously conducted, if any
a)

Conducted by

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

b) Year in which Conducted

c) Benefits derived / Cost Saved in Rs.

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

16. Requirements of the proposed Energy

Audit
a)

Electrical Power

b)

Thermal Power

Other additional information :

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

SIGNATURE

NAME & DESIGNATION

DEPARTMENT

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Raj Energy Services 62/81, Dayanagar, Risali ,Bhilai Durg , E mail : resbhilai@gmail.com

COMPANY NAME

DATE

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