SEEM

Primary Evaluation Form

National Award Secretariat, Engineers Bhawan, Institution of Engineers, ITO, New Delhi
Ph. No: 0471-2557607
Email: seemhq2011@gmail.com
www.seemindia.org

Name(Organization / Individual)*

Communication Address(*)

State(*)

Name of CEO/Head(*)

Email ID of CEO(*)

Contact Number of CEO/Head(*)

Name of the Contact Person(*)

Designation of the Contact Person(*)

Email ID of the Contact Person(*)

Mobile No of the Contact Person(*)

Award Category(*)

Type of Industry/ Facility(*)

Average Turnover (3 years) in Rs.Lakhs(*)

No.of Employees(*)

Specific Energy Consumption improvement over last year (Electrical / Thermal)(*)

Do you have any written energy policy?(*)
Yes No

How many employees are involved in Energy conservation activities?(*)

Do you have any Energy Manager?If Yes Name of Energy Manager(*)

Major Energy conservation projects implemented in the past 3 years(*)

Major Energy management activities carried out in the past 3 years(if applicable, otherwise put NA)(*)

GST No.

Note:

This is your first step towards getting the prestigious recognition for your efforts in energy management
Free online pre qualification assessment round -(Please furnish all basic inputs in the application for qualifying the Primary Evaluation. )
Selected entities will be issued with a Unique Identification Code (UID) as user id & password., and nominated for the awards selection.
Details and supporting documents submission with necessary application fee for Jury assessment.
Unique ID code should be mentioned in all supporting documents and correspondence
Verification and evaluation will be done by a panel of jury members.. During evaluation, the Award Jury will contact the concerned official(s) for Telephonic discussion or Online meeting, if required.

Primary Evaluation Form

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