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ELECTRIC VEHICLE (EV) CHARGING INTEREST FORM
ELECTRIC VEHICLE CHARGER INTEREST FORM
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* Indicates required question
C.A No.
Your answer
Name
*
Your answer
Phone number
*
Your answer
Email
Your answer
Address
Your answer
Pincode
Your answer
Type of Charging Station
*
Private
Semi-Public (Commercial)
Property Type
*
Private Land
Shop
Commerical Building/Land
RWA/Housing/CGHS Society
Other:
Type of Electric Vehicle
*
2 Wheeler
3 Wheeler
4 Wheeler
E-Rickshaw
Multiple Electric Vehicle
Other:
Type of Charger Required
LEVAC 3.3 KW (SINGLE POINT CHARGER)
AC001 3*3.3 KW (THREE POINT CHARGER)
DC001 15 KW (SINGLE GUN CHARGER)
Other:
Clear selection
New Electric Vehicle (EV) Meter Required
*
YES
NO
How did you know about Electric Vehicle Portal
*
BRPL EV Cell
Bill Advertisement (Samvad)
Govt. Advertisement
Other:
Any Query
Your answer
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