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Kerala Renewable Energy Entrepreneurs' & Promoters' Association (KREEPA)
Regd Off : Renewable Energy Centre Mithradham, Chunangamveli, Aluva, Ernakulam District, Kerala PIN 683 105

PAN no:

STALL BOOKING &SPONSORSHIP REGISTRATION FORM

After you have selected the desired stall, stall number and where applicable sponsorship items, transfer the payment to KREEPA account and submit the form along with UTR and bank details. A printed copy of the form with sign and company / organisation seal may be sent to us by email. Our team will revert back with a confirmation after verifying the bank transaction. As stall bookings are on in huge numbers, allocation of selected stall number is subject to availability

Name & Address of the Organization Name
Address of organization
Email ID
Land phone
Mobile
In case of students; nominated by Name of Contact person
Designation
Official Seal
Are you a KREEPA member Yes No If yes; membership category Life Ordinary
Sponsoring Items Category / Item Amount
Sponsorship Titles (if required) Platinum Gold Silver
Stalls 3mX3m 3mX3m(p) 3mX2m 3mX2m(p) 2mX2m
Stall Nos
Assigned stall number(s) Eg: A27,B4 etc.
Product Category PV Modules Grid Tie PCU Off Grid PCU Mounting Structures System Integrator

If Others Please specify

Cables & Electrical accessories Battery Solar Water Heating Solar Concentrator Solar Energy Equipments
Junction Boxes Wind Energy Efficiency products Biomass Others
Sponsorship item 1
Sponsorship item 2
Sponsorship item 3
TOTAL
Payment Details (Please refer UTR of NEFT/RTGS) Amount: Bank:
UTR ref: Date:

Bank details for NEFT/RTGS

Beneficiary Name Kerala Renewable Energy Entrepreneurs and Promoters Association
Beneficiary Bank Federal Bank Ltd, Kaloor Branch, Kochi - 682 017
A/c No 142 101 000 34569
IFSC code FDRL 0001421
Date
Name
Signature