EVCS - Application

Applicant Details

Type* :

Individual

Corporate

First Name* :

Middle Name* :

Last Name* :

Company Name :

Email ID :

Mobile No* :

Aadhar Card No* :

PAN No* :

Premises Details

Address Line1* :

Address Line2* :

Address Line3* :

Village* :

Pincode* :

Type of premises* :

Self-Owned

Lease

Owner Details :
(If not self-owned) :

Electric Vehicle Charging Station Details

Nearest Landmark* :

Ownership Type* :

Type of charger* :

Time From* :

Time To* :

(Note: Enter HH(Hours) between 1 and 12.
And MM(Minutes) between 0 and 59.)

No. of Connector Guns* :

Station Type* :

Manned

Unmanned

Charging Rate * :

Charger Cost (Base Amount)* :

Charger Cost (GST Amount)* :

Incentive Amount* :

Additional formation :

(Note: Incentive will be applicable only on Charger Cost(Base Amount), excluding GST Amount.)

Charging Station Type/Commercial Operation Date

Station Type* :

Public

Semi Public

Date Of Operation/Date of Commissioning* :

Beneficiary Bank Details

Bank Name* :

A/C Holder Name* :

A/C No* :

IFSC Code* :

MICR Code* :

Address* :

Declaration* :

Tick following check boxes

The details of Bank will be used to credit incentive amount.

The invoice uploaded will be used to determine the incentive amount.

Documents Upload

(Note: Only JPG,JPEG,BMP,PNG,PDF and ZIP files allowed.File Size should be up to 1 MB.)

Electricity Bill/Quotation Paid Receipt/Sanctioned Letter* :

Choose file

Charger Invoice Bill Copy* :

Choose file

Charger Specification* :

Choose file

EV charging equipment type test certificate* :

Choose file

Self declaration certificate* :

Choose file

Undertaking of ownership and service charges* :

Choose file

Bank Passbook/Cancelled Cheque* :

Choose file

Aadhar Card* :

Choose file

Application for Electric Vehicle Charging Station incentives

Applicant Details

Premises Details

Electric Vehicle Charging Station Details

Charging Station Type/Commercial Operation Date

Beneficiary Bank Details

Documents Upload

Submit Application