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GEMP FORM -1A
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Region : ____
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GOVERNMENT ENERGY MANAGEMENT PROGRAM (GEMP)
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SURVEY OF GOVERNMENT AIRCONDITIONING UNITS AND GENERATORS
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(In compliance with R.A. 11285 and its IRR)
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Name of Government Agency/Office : _______
Contact No.: __________________________
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Address : _______
Date: _________
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AIRCONDITIONING UNIT
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No.AREAType
(Window, Split, Package/Floor Type)		Status
(Operational, Non-Operational, Stand-by)		Quantity
(No. of unit)		Category
(Inverter, Non-Inverter Type)		Nameplate RatingYear of PurchaseOperation
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Cooling Capacity (KJ/hr)Capacity Rating
(HP or TR)		Energy Efficiency Ratio
(EER)		Hours per DayDays per Week
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TOTAL BUILDING GROSS FLOOR AREA (m²)TOTAL AIR-CONDITIONED FLOOR AREA (m²)
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GENERATORS
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BrandQuantityCapacity (kW)StatusRemarks
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(Please use another sheet if necessary)
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Prepared By: (Name and Designation)
Approved By:
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__________________________________
__________________________________
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Energy Efficiency and Conservation Officer
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