Address
		
		
			
I. Office Address
		
	 
	
	
	
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
	   
	  
	   
	  
	   
	   
	  
	  
	  
	 
		
			
II.Authorized Person Contact details(Primary Person)
		
		
	 
	
	
	
	
	
	  	
	  	 		
	  
	  													
	
		
			ii)Authorized Person Contact details(Alternate Person)
		 
	 
	
	
	
	
	
	  	
	  	 		
	  
	  
	  
	
		
			III) Location of the proposed site with details
		 
	 													
	
		
			
DETAILS OF REGISTRATION FEE REMITTED
		
	 
	
	
	  
		
			
b.Land details of the Charging Station site
		
	 
	
	
	   
	  
	  
	   
	  
	  
	  
	  
	   
	  
	  
	  
	  
	  
	  
		
			  
	   
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
	  
			
				
DETAILS OF REGISTRATION FEE REMITTED
			
		 
	  
	  
	  
	   
	   
	   
	   
	  
	
	
		
			
Please Check the Details before submitting. Cannot be modified after submission