Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697795124077.pdf (Grenada)
NON-INTERCONNECTED SELF-GENERATOR REGISTRATION FORM Page 1 of 10 NON-INTERCONNECTED SELF-GENERATOR REGISTRATION FORM Guide Part One: General Information Part Two: Information about Self-generation facility Part Three: Pledge by the Registrant Page 2 of 10 INSTRUCTIONS TO THE REGISTRANT If the space provided in the Form is not sufficient to include all the information requested, the registrant is entitled to edit this Form to expand the required section(s) or paragraph (s).
It is forbidden to modify or eliminate any section or paragraph of this Form.

Any submission breaching this obligation shall be considered incomplete or invalid.

If you have any doubt regarding how to fill this Form, the information to be attached to this Form and/or require further clarification, you may contact the Public Utilities Regulatory Commission at the following email address: sgapplication@purc.gd.

Please note that the information on this Form is subject to review and change by the PURC.
Who is obliged to submit this Form?
If you self-generate or intend to self-generate electricity, you may be exempted from the obligation of obtaining a licence in the following circumstances: a) b) c) if you possess electricity generation capacity and equipment for such generation, and use of electricity from any source for your own use during periods when the network licensee is prevented by weather or other emergent circumstances from supplying electricity to such self-generator; if you generate electricity from renewable resources for your own consumption; if you generate electricity exclusively for your own consumption and use and you are located in an area which is not supplied with electricity by any grid - network licensee; If in accordance with the previous paragraph, you are exempted from the obligation of obtaining a licence and you have not interconnected and do not intend to interconnect your generation facilities to the electricity network of the grid system, you are subject to the following: a) you are not required to obtain a permit provided that you maintain your generation facilities disconnected from the electricity network of the Network License; b) you are obliged to complete this Form as prescribed and submit to the Commission.
Page 3 of 10 How to submit this Form?

This Form shall be fully completed, in writing, and signed by the registrant or an authorised representative.

To register as a non- interconnected self-generator all the necessary requirements and information detailed in this Form must be provided.
This Form shall be submitted to the Public Utilities Regulatory Commission by any of the following means: 1) personally to the address of the Public Utilities Regulatory Commission below indicated; or 2) by post to the address below indicated; or 3) by electronic means to the email address given below.
Public Utilities Regulatory Commission: • Address: Queen’s Park, St George’s, Grenada • Mail: P O 2443 Queen’s Park, St. George’s • Email: sgapplication@purc.gd Payment of the Registration Fee A registration fee of $50.00 must be submitted with this Form.

The Public Utilities Regulatory Commission will contact you to confirm whether the registration form is complete or incomplete.

Page 4 of 10 PART ONE: GENERAL INFORMATION 1.1.

REGISTRANT 1.1.1.
REGISTRANT 1.1.1.

Name of the registrant ……………………………………………………………………………………………………………………….

1.1.2.

Main Address ……………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………….

1.1.3.

Tel.

No: ……………………………………………………………………………………………… 1.1.4.

Fax No: …………………………………………………………....................................... 1.1.5.

Email address ………………………………………………………............................... 1.2.
REPRESENTATIVE (COMPLETE IF THE PERSON WHO SUBMITS THE REGISTRATION IS A REPRESENTATIVE OF THE OWNER OF THE FACILITY) 1.2.1.

Name ............................................................................................................. ……….… ............................................................................................................. ……….… 1.2.2.
Mailing Address (in Grenada) ............................................................................................................. ……….… ......................................................................................................................... ......................................................................................................................... 1.2.3.

Tel.

No.

…………………………………………………………….................................. 1.2.4.
Fax No……………………………………………………………..................................... 1.2.5.

Email/address …………………………………………………………………………………..

Page 5 of 10 1.3.

COMPANY DETAILS (COMPLETE IF THE REGISTRANT IS A LEGAL PERSON) 1.3.1.

Place of incorporation/registration ……………….……………………………………………………………………………………………………… ……………….……………………………………………………………………………………………………… 1.3.2.

Registered name of company ……………….……………………………………………………………………………………………………… ……………….……………………………………………………………………………………………………… 1.3.3.
Year of incorporation/registration ……………….……………………………………………………………………………………………………… 1.3.4.

Number of incorporation/registration ……………….…………………………………………………………………………………………………..... ……………….……………………………………………………………………………………………………… 1.3.5.
Legal status of the Company (please state whether the applicant is a private limited company, a public limited company, overseas company, other body corporate, partnership, association or other entity) …………….………………………………………………………………………………………………………… ……………….……………………………………………………………………………………………………… ……………….……………………………………………………………………………………………………… ……………….……………………………………………………………………………………………………… 1.3.6.
If the applicant is a partnership or other kind of joint venture, please indicate name and address of partners: (a) Name, and address: ………………………………………………………………………………… …………….………………………………………………………………………………………………………... (b) Name, and address: ………………………………………………………………………………… Page 6 of 10 …………….………………………………………………………………………………………………………… (c) Name, and address: ……………………………………………………………………………………………………………………….

…………….………………………………………………………………………………………………………… (If necessary, please extend this list of partners ) 1.4.
ADDITIONAL DOCUMENTS The original or certified copies of the following documents shall be enclosed with this Form: (a) (b) a certified copy of incorporation, if the registrant is a legal person; the original power of attorney that certifies that the signatory of this Form represents the registrant, if the signatory of this Form is a representative.

Page 7 of 10 PART TWO: INFORMATION ABOUT SELF-GENERATION FACILITY 2.1.
ADDRESS (FOR INSTALLATION) ……………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………............ ………………………………………………………………………………………………………………………………….. 2.2.

GENERATION CAPACITY (KW) AND INVERTER RATING (KW) ………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………….

2.3.

ENERGY SOURCE AND TECHNOLOGY USED TO GENERATE ELECTRICITY (E.g.

Solar/Wind) ………………………………………………………………………………………………………………………………….


2.4.

ENERGY STORAGE FACILITY (YES/NO).

If yes, please provide technical details.

……………………………………………………………………………………………………..…........................... ………………………………………………………………………………………………………………………………….. 2.5.

SELF GENERATION FACILITY INSURANCE (YES/NO) ………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………….. 2.6.
MANUFACTURER AND COST OF GENERATING SYSTEM (INCLUDING INSTALLATION COST) ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………….

Page 8 of 10 2.7.
ADDITIONAL DOCUMENTS Copies of the following documents must be enclosed with this Form: (a) an electrical one-line diagram or sketch showing how the inverter will be interconnected; (b) the manufacturer’s specification sheet for the inverter that includes details of the make and model; (c) the manufacturer’s nameplate information as applicable including rated voltage, rated current, power factor, HP/kW, rated speed and locked rotor current; (d) your most recent electricity bill (if applicable).
Page 9 of 10 PART THREE: PLEDGE BY THE REGISTRANT Pledge by ……………………………………………………………………………… (Please add name) I, the undersigned (Registrant/Representative Name) declare that: 1.

2.

3.

4.

5.
2.

3.

4.

5.

I have due authority to make this submission; I have read and understood this Form; I have knowledge and understanding of the Electricity Supply Act, the Public Utilities Regulatory Commission Act other applicable acts, regulations and legislation of Grenada; and shall comply with all those acts, regulations and legislation of Grenada.
I understand that knowingly or recklessly making a false, incomplete or misleading statement in support of this registration may lead to my registration being refused.
I certify that, to the best of my knowledge, all the above provided information is accurate, complete and not misleading: Signature of non-interconnected self-generator …………………………………………………………………………………………………………………………………... Name in capital letters ……………………………………………………………………………………………….. Capacity of signatory ……………………………………………………………………….………………………….
Dated: ………………………………………………………………………………………………………………………… Registration identification number …………………………………………………… For PURC Use Authorised Signature ………………………………………………..................... PURC Date: ………………………………………………………………………………………………..

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