MOSIC - One Stop Info Center

Solar Home Lighting Spare

Permanent Address of the Applicant

CID: *

Name:

Dzongkhag:

Dungkhag:

Gewog:

Chiwog:

Contact no: *

Installation Address

CID: *

Name:

Gung No: *

Thram No: *

Dzongkhag: *

Gewog: *

Village: *

Contact No: *

Home Lighting System Details

Date of Issue: *

Issued By: *

Damaged Modules: *

Solar Module

Solar Battery

Controller

LED Bulb

Reason for Damage: *