Name of the Candidate :
Date :
Contacted Catogory Alternative Solution for
Sl No. Type Power Shut Down details Power Failure
Day Night Total Hrs/day
1 Farmers/Individuals
2 Shop Keepers/Dealers
3 Self Help Groups
4 Cooperative Socities
5 School/College
6 Village Panchayath
7 Microfinanciar
8 Others
Prepared By:
Name of the City/Village:
Remarks(whether Contacted persons
Feedback on interested to buy - name address
Solar Lite Yes/No) mobile no.