Rural Electrification Subsidy Pre-Qualification Questionnaire
Applicant Details
Full Name
Address
Contact Number
Email
Location Information
Province/Region
Municipality/Community
Is your area currently connected to the national grid?
Yes
No
Applicant Type
Individual
Organization
If organization, specify name
Number of household members / beneficiaries
Electricity Access
Current energy sources used
Average monthly electricity expenditure (if applicable)
Income & Eligibility
Total monthly household income
Are you currently receiving any other government subsidy?
Yes
No
Please mention the type of subsidy (if any)
Additional Information
Comments or special needs