Form 9 FORMAT "A" FORMAT FOR BASIC INFORMATION FOR PROJECTS UPTO 100 kW ON BIOMASS GASIFIER SYSTEMS FOR THERMAL AND ELECTRICIAL APPLICATIONS, 100% PRODUCER GAS DEMONSTRATION PROJECTS AND CONVERSION OF EXISTING POWER PLANTS. Name and address of State Govt. Nodal Deptt./Nodal Agency/Approved NGOs : Sl. No. User's address Mode of application Name Manufacturer Supplier of / Rating of system Thermal/ Mech./ Electrical No. of systems proposed Unit Cost Estimate/ actual price as intimated by the user/ manufacturer Amount of Central Financial Assistance (CFA) as per approved scheme of Biomass Gasifier 20032004. Certified that: 1. Certified that adequate quantity of surplus biomass is available at the site and user/applicant is genuinely interested for installation and operation of gasifier on regular basis. 2. User organizations have agreed to provide balance funds over and above CFA for installation of proposed gasifier system. 3. User organizations have agreed to operate and maintain the system at their own on a regular basis. Name & Signature of the Promoter/User (Countersigned by SNA or / and Manufacturer) Date: Place:
