FORMAT FOR PREPARATION OF PRELIMINARY PROPOSALS FOR TEST PROJECTS ON CREATING ENERGY SECURITY IN VILLAGES THROUGH BIOMASS 1. Name & Full Address of the Implementing Agency (Forest Department / DRDA / NGO) 2. Name & Full Address of State Nodal Deptt./Agency 3. Name of Gram Panchayat, Block & District 4. No. of Villages under Gram Panchayat 5. Name of Village / hamlet selected for the Project 6. Village census code 7. Distance from nearest road-head 8. Distance from the grid 9. Total population of the village / hamlet 10. Male / Female ratio 11. Rate of literacy 12. No. of households 13. Number of Hamlets / Dalit Bastis in Village 14. Type of Social Structure 15. Community buildings - school, PHC, panchayat ghar, etc. 16. Main occupation, indicating cash crops 17. Biomass resource availability - type of biomass, local fuel wood / oil-seed bearing species, if any 18. Availability of fallow land / waste land / uncultivated land etc. for energy plantations 19. Availability of water 20. Indicative Estimate of Energy Demand (a) Household - cooking, lighting, other (b) Community services, including streetlights (c) Irrigation/Agriculture Operations (d) Commercial (e) Industrial 21. Existing pattern of energy / fuel use and average monthly expenditure per household 22. Existing renewable energy devices in the village, if any 23. Biomass Technology package proposed to be deployed 24. Indicative capacity of the energy systems 25. Role of local community in planning, implementation and management, including revenue management 26. Details of any local NGO already associated with the village / hamlet 27. Any other information