BUSINESS ENERGY TRANSFORMATION
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BENEFICIARY / CLIENT / JST DETAILS:

Name of BENEFICIARY / CLIENT / JST

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Address of BENEFICIARY / CLIENT / JST *

VAT ID of BENEFICIARY / CLIENT / JST

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Contact Person of BENEFICIARY / CLIENT / JST

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Position of BENEFICIARY / CLIENT / JST

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Email of BENEFICIARY / CLIENT / JST

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 Phone Number of BENEFICIARY / CLIENT / JST *

Website of BENEFICIARY / CLIENT / JST

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General description of the needs of BENEFICIARY / CLIENT / JST

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ELECTRICITY CONSUMPTION INFORMATION:
Type of contract
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Data of the Distribution System Operator
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Energy Seller's details (in the case of a separate contract)
Connected power in kW
Contracted power in kW
Annual energy consumption in MWh
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Annual value of electricity charges in PLN net
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Annual value of energy trading fees in PLN net
Annual value of fees for distribution services in PLN net
Annual amount of energy covered by the capacity fee in MWh
BENEFICIARY/CUSTOMER job type
INFORMATION ABOUT THE ENERGY SYSTEM:
Type of power line
Number of Energy Intake Points
Connection voltage
Additional descriptive information
INFORMATION ON THE ANNUAL DEMAND FOR OTHER ENERGY CARRIERS:
Central heating + hot water system heat in GJ
System heat CO+STEAM in GJ
Natural gas in MWh
Coal in MWh
Heating oil in MWh
Biomass or biofuels in MWh
Other energy carriers in MWh
LOCATION OF THE BENEFICIARY/CUSTOMER/LGU INVESTMENT:
Address of the investment location of the BENEFICIARY / CUSTOMER / local government unit
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Registration plot number/TERYT
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The right to dispose of the plot
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Information about the conditions of the Local Development Plan
Geological research
Google location coordinates
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CATEGORY OF THE SUBMITTED OFFER/CUSTOMER:
DETAILS OF THE REPORTING PARTNER / BROKER:
Name and Surname of PARTNER / BROKER *

Email of PARTNER / BROKER

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Phone Number of PARTNER / BROKER

Website of PARTNER / BROKER

I agree to the terms and conditions

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