ACCESS CO-DEVELOPMENT FACILITY 2017

Application Form

INSTRUCTIONS:

-Provide answers in Answers boxes below.

-Send completed form to

-Additional documents to support the applicant answers can be attached separately.

  1. Project & Applicant Overview:

Topic / Answers
Project Name / Click here to enter text. /
Project Country / Click here to enter text. /
Name and Address of Applicant / Click here to enter text. /
Website / Click here to enter text. /
Contact Person / Click here to enter text. /
Email / Click here to enter text. /
Mobile / Click here to enter text. /
Project Technology(Solar, Wind, Hybrid, Hydro, Etc.) / Click here to enter text. /
Plant size(MW) / Click here to enter text. /
Total Project Cost(in USD) / Click here to enter text. /
How did you hear about the ACF? / Click here to enter text. /
  1. Project Details:

Topic / Answers
Originator’s Experience (Weight 10%)
Manpower Capabilities / Click here to enter text. /
Project development experience / Click here to enter text. /
Existing partnerships / Click here to enter text. /
Regulatory Framework (Weight 20%)
Power purchase regime (FiT/Tender/Bilateral negotiation) / Click here to enter text. /
Availability of Guarantees (if applicable) / Click here to enter text. /
List executed PPAs for similar projects(if applicable) / Click here to enter text. /
Technical Aspects (Weight 20%)
Power Evacuation Strategy / Click here to enter text. /
RE Resource Measurement / Click here to enter text. /
Project Timeline / Click here to enter text. /
Status of Project Site (land lease/land purchase completed? Ongoing?) / Click here to enter text. /
What Development Activities Have Been Completed (please provide the relevant evidence) / Click here to enter text. /
Commercial Aspects (Weight 30%)
Cost of Land (USD) / Click here to enter text. /
Transmission and Power Evacuation Costs (USD) / Click here to enter text. /
Other Costs, please detail such costs(USD) / Click here to enter text. /
Is Off-Take Agreement Secured (provide details) / Click here to enter text. /
Off-Taker name / Click here to enter text. /
Target Tariff (USD/kwh) / Click here to enter text. /
Tenor of Power Purchase Agreement (if applicable) / Click here to enter text. /
Has EPC Contractor Been Selected (if so, provide copy of EPC contract) / Click here to enter text. /
EPC Price (USD) / Click here to enter text. /
Provide Evidence of Host Government/Off-taker Support (if applicable) / Click here to enter text. /
Provide Relevant Studies That Have Been Conducted (Pre-Feasibility, ESIA Scoping, Topo, Geo Study, Etc…) / Click here to enter text. /
Socio-Economic & Environmental Aspects (Weight 20%)
Social Benefits of Project / Click here to enter text. /
Economic Benefits of Project to host community / Click here to enter text. /
Environmental Benefits of Project / Click here to enter text. /

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