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www.km.com.qa
Customer Services Department

For Customers of more than 5 MW of Power & 25 m/hour (0.132MIGD) of Water
Application No: .............................
Date Received by CSD: ......... /......... /.........

1- Applied by: Project Owner Project Developer
2- Project developer/Owner Name: .....................................................................................................................................
3- Contractors Name: .........................................................................................................................................................
4- Project Consultant: ..........................................................................................................................................................
5- Development Class: Heavy Medium Light
(As stipulated in the Qatari license held in respect of which this form is being made).
6- Percentage Utilization of Potable Water
Drinking % Irrigation % Cooling % Fire Protection % Others %
7- Project Title: .......................................................................................................................................
8- Project Location:
City................................. Municipality...............................Geographical Zone No......................... PIN No......................
QID/Establishment No:.....................................................................................................................................................
9- Type of Supply:
New Additional Temporary (Construction) Others,.............................................................
Important: If the Type of Supply is Temporary, Temporary Connection Forms and Metering Forms must be filled in when applying
for supply. The form is available at Customer Services Department (Contact Head Planning & Bulk Customers Section at
Telephone No. 462-8356, 462-8357).
10- Project Brief of Scope:
11- Project Ownership Status: Single Owner Joint venture Not Finalized
If Joint Venture, Indicate agreement status :
Letter of Intent MOU Signed JVA Signed DPSA Signed*
Application for Supply of
Power & Water
Industrial Bulk Customers
* Development and Production Sharing Agreement
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12- Project Early Start: QTR. ..................... Year ......................
13- Project Early Finish: QTR. ...................... Year ......................
14 -Current Project Execution Status:
Planning Feasibility Design

Tendering Under Construction In Operation
15 Yearly Maximum Demand & Quantity (Provide matching yearly demand curves as well)
Year


Project
Exec.
Phase

Power Potable Water Distillate
Incremental
(i.e.Extra Demand
over Prior Year)
Cumulative
(i.e.Total
Demand in the
Year)
Incremental
(i.e. Extra
Demand over
Prior Year)
Cumulative
(i.e. Total
Demand in the
Year)

Incremental
(i.e. Extra
Demand over
Prior Year)
Cumulative
(i.e.Total Demand
in the Year)
MW
MWh/
Year
MW MWh MIGD
MI G/
Year
MIGD MIG MIGD
M I G /
Year
MIGD MIG
2007A
2008A

2009A

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021
2022
2023
2024

2025-
2035

Notes:
- The information shall be provided for a period not less than 15 years from the start of the planning phase. For the
previous years with reference to the current year, please provide actual (A) figures for projects in operation.
- Please fill-in the project execution phase column using the appropriate letter for each phase or a combination
of the same (for parallel phase) as appropriate against each year with P=Planning, F=Feasibility, D=Design,
T=Tendering, C=Construction, O=Operation.
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MWh : Megawatt hour MW: Megawatt MIGD : Million Imperial Gallons Per Day MIG Million Imperial Gallons
16 Monthly Maximum Demand & Quantity
a) 1
st
Year: ...............
Month
Proj. Exec.
Phase
Elect.Power
MW
Elect. Energy
MWHr/Month
Pot. Water
MIGD
Pot. Water
MIG/Month
Distillate
MIGD
Distillate
MIG/Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
b) 2
nd
Year: ...............
Month
Proj. Exec.
Phase
Elect.Power
MW
Elect. Energy
MWHr/Month
Pot. Water
MIGD
Pot. Water
MIG/Month
Distillate
MIGD
Distillate
MIG/Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
c) 3
rd
Year: ...............
Month
Proj. Exec.
Phase* (2)
Elect.Power
MW
Elect. Energy
MWHr/Month
Pot. Water
MIGD
Pot. Water
MIG/Month
Distillate
MIGD
Distillate
MIG/Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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d) 4
th
Year: ...............
Month
Proj. Exec.
Phase
Elect.Power
MW
Elect. Energy
MWHr/Month
Pot. Water
MIGD
Pot. Water
MIG/Month
Distillate
MIGD
Distillate
MIG/Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
e) 5
th
Year: ...............
Month
Proj. Exec.
Phase
Elect.Power
MW
Elect. Energy
MWHr/Month
Pot. Water
MIGD
Pot. Water
MIG/Month
Distillate
MIGD
Distillate
MIG/Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
17- Ground Reservoir Proposed:
(a) Location, (Drawing in Soft & Hard Copies)
(b) Capacity (Must be 2 Days Storage Capacity based on Daily Average Demand in MIGD)
(c) Elevation & Height of the Ground Reservoir with map (Should be under ground or at ground Level with a height not
exceeding 3 meters above ground level) ..................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
18- Industrial Project Details:
18.1- Brief description of final project product: .....................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
18.2- Average electrical energy consumption (MW/hr) per unit of production: .....................................................
18.3- Bulk Customers proposed Design Power Factor (KAHRAMAAs required PF range is 0.9 Lagging to 0.95
Leading): ............................................................
18.4- Average water consumption (cubic meter) per unit of production: ...............................................................
18.5- Total annual production level plan ................................................................................................................
(Commencing from the frst year of production to the year when maximum design capacity is reached)
18.6- Water for Recycling System Adopted: Yes No.

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19- Do you wish to apply to KAHRAMAA for services for your internal Network, Yes No.
If Yes, please Identify?
Operations and Maintenance Project Management Agreement to share cost of construction
20- Captive Generation:

Do you want to exchange power and/or water with KAHRAMAA? If yes, please fill in the tables shown in items
15 &16 above twice. Once with your demand as part of this application and The 2nd time your proposed supply to
KAHRAMAA and indicate modes, prices & any terms for each mode of supply and attach to a separate covering
letter addressed to M/CSD and enclose it with this form/ Application.

Please provide in the following space information for internal or private generation capabilities if any. Minimum
Information required is:
- Number of generating units.
- Generating unit ratings.
- Type of generation technology (ST-GT-CC etc......).
- Generation voltage/step up voltage.
.................................................................................................................................................................................
.................................................................................................................................................................................
21- Attachments:
- Project Location Map Yes No
(Hard & electronic digital Auto Cad fle copies)
including proposed sub-station location with co-ordinates
for power. .
- Project Master Schedule Yes No
- Annual Maintenance schedule Yes No
- Proposed Location Map of the Ground Reservoir Yes No
(Hard & electronic digital Auto Cad fle copies)
- Including proposed internal Reservoirs with Co-ordinates for water
Yearly Load Demand Curves Yes No
Building Permit Approval Yes No

Instructions:
Building Permit Application, Metering Forms, and Permanent Connection Forms must be filled in.
If the type of supply is temporary, Temporary Connection Forms and Metering Forms must be filled in.
Application for Supply
By signing this application form the Applicant applies to KAHRAMAA for the supply of power, water or other services
as indicated in the information provided above.
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(Terms of Supply)
All power and water provided to the Applicant by KAHRAMAA will be subject to the standard terms and conditions
established by KAHRAMAA from time to time.
KAHRAMAA has no obligation to supply power, water or other services to the Applicant, or assumes any obligation in
relation to the same until such time as the Applicant enters into a supply agreement with KAHRAMAA. The Applicant
will execute a supply agreement on terms to be agreed with KAHRAMAA as soon as practicable after it receives
confirmation from KAHRAMAA that this application has been accepted and in any event within a period of three (3)
months from that date, failing which KAHRAMAA may require the Applicant to lodge a new application for supply.
(Other Services) All other services will be provided on separate terms to be agreed between KAHRAMAA and the
Applicant.
(Acknowledgments) The Applicant acknowledges that :
It has or will in a timely manner obtain all necessary licenses and authorizations to enable it to undertake the
Project;
The application and information included in the application will be used by KAHRAMAA to operate and manage its
product acquisition and delivery activities;
Supply will be subject to payment of tariffs, deposits, bonds and fees as determined by KAHRAMAA and that
these are subject to change from time to time by KAHRAMAA at its sole discretion;
KAHRAMAA may accept or reject any application in its absolute discretion and without providing reasons;
Should KAHRAMAA accept this application, it must execute a supply agreement with KAHRAMAA not less than
three (3) years prior to the date of proposed first supply;
It will within a period of thirty (30) days from the date that it receives confirmation from KAHRAMAA that this
application has been accepted provide KAHRAMAA with an unconditional and irrevocable bank guarantee in the
format set out in the attachment to this application in the amount required by KAHRAMAA;
Rules and regulations administered by KAHRAMAA shall govern the design, construction and, operation &
maintenance of the Connection Equipment and that the Applicant shall abide by KAHRAMAAs wiring regulations,
applicable KAHRAMAA Codes, Regulations and Rules related to design, construction, operation & maintenance
of its internal network and that this shall be carried out under the supervision of a professional engineering
consultant;
Non-payment of amounts due for the supply of power or water may result in KAHRAMAA issuing a notice of
disconnection and failing payment of the overdue amounts within thirty (30) days suspension of supply; and
The Applicant may be required by KAHRAMAA to provide additional information and access to persons and
facilities as part of KAHRAMAAs consideration of this application.
Name: ..............................................................................................................................................................
Designation: .....................................................................................................................................................
Address: ..........................................................................................................................................................
Telephone: ........................................ Mobile: ........................................ Fax: ............................................
E-mail: .........................................................................................................................................
Signature:...............................................................................................
Date (dd/mm/yy): ...........................
[Who confirms that they are authorized to sign and provide this Bulk Application form to KAHRAMAA on behalf of the
Applicant]

Note: If Joint Venture Project then Joint Venture Leader shall sign.
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