Expression of Interest Form (Tenant)*First Name * First NameFirst Name can not be left blank.Please enter valid data.This first name is invalid. Please enter a valid first name.*Last Name * Last NameLast Name can not be left blank.Please enter valid data.This last name is invalid. Please enter a valid last name.*Username * UsernameUsername can not be left blank.Please enter valid data.This username is already registered, please choose another one.This username is invalid. Please enter a valid username.*Password * PasswordPassword can not be left blank.Please enter valid data.Please enter at least 6 characters.Strength: Very Weak*Name of company * Name of companyText field can not be left blank.Please enter valid data.*Address of company * Address of companyText field can not be left blank.Please enter valid data.*Company email * Company emailEmail Address can not be left blank.Please enter valid email address.Please enter valid email address.This email is already registered, please choose another one.*Telephone * TelephoneText field can not be left blank.Please enter valid data.Please enter valid data.Website of company (if available) Website of company (if available)Website (URL) can not be left blank.Invalid URLInvalid URL*Number of years in operation * Number of years in operationText field can not be left blank.Please enter valid data.*Number of subsidiaries * Number of subsidiaries Text field can not be left blank.Please enter valid data.*Existing plant capacity * Existing plant capacityText field can not be left blank.Please enter valid data.*Type of EntitySole ProprietorshipPartnership FirmIncorporated CompanyPlease select one option.Please enter valid data.Area of Interest *Industry SectorManufacturingAssemblingProcessingFabricationTradingServiceOthersPlease check atleast one option.Please enter valid data.Please specify if others Please specify if othersText field can not be left blank.Please enter valid data.Project Information *Project TypeGreen FieldRelocating PlantPlease select one option.Please enter valid data.*Proposed plant capacity in KIP * Proposed plant capacity in KIPText field can not be left blank.Please enter valid data.*Does your plant have a certified standard? YesNoPlease select one option.Please enter valid data.*Expansion PlanYesNoPlease select one option.Please enter valid data.Technical Information * Land or WarehouseLand Area (hectares)Warehouse (sqm)Please select one option.Please enter valid data.Base Load Power demand per day(kW) Base Load Power demand per day(kW)Text field can not be left blank.Please enter valid data.Peak Power demand per day(kW) Peak Power demand per day(kW)Text field can not be left blank.Please enter valid data. Gas demand(MMSCFD) Gas demand(MMSCFD)Text field can not be left blank.Please enter valid data.Water Vol.(m3/d) Water Vol.(m3/d) Text field can not be left blank.Please enter valid data.Steam demand(m3/d) Steam demand(m3/d)Text field can not be left blank.Please enter valid data.Timeline to FID(Months) Timeline to FID(Months)Text field can not be left blank.Please enter valid data.Construction/Installation duration(months) Construction/Installation duration(months)Text field can not be left blank.Please enter valid data.Manpower estimate Manpower estimateText field can not be left blank.Please enter valid data.Internet Bandwidth(mb) Internet Bandwidth(mb)Text field can not be left blank.Please enter valid data.Operations Frequency of OperationFixedVariablePlease select one option.Please enter valid data.Running Hours/day Running Hours/dayText field can not be left blank.Please enter valid data.No. of Days/Month No. of Days/MonthText field can not be left blank.Please enter valid data.No. of Months/year No. of Months/yearText field can not be left blank.Please enter valid data.Emmisions Greenhouse GasesCO2CH4N20PFCSF6HFCOthersPlease check atleast one option.Please enter valid data.Others; Specify Others; SpecifyText field can not be left blank.Please enter valid data.Ozone and Aerosol PrecursorsNOxSO2CONMVOCOthersPlease check atleast one option.Please enter valid data.Others; Specify Others; SpecifyText field can not be left blank.Please enter valid data.Waste Details Type of WasteType of WasteSelect OptionEffluentSolidGaseousAny OtherPlease select atleast one option.Please enter valid data.Waste Quantity/day Waste Quantity/dayText field can not be left blank.Please enter valid data.Mode of Disposal Mode of DisposalText field can not be left blank.Please enter valid data.Finance Source of FinanceEquityDebtPlease check atleast one option.Please enter valid data.Finance Secure Already?YESNOPlease check atleast one option.Please enter valid data.File Upload File UploadDrop file here or click to select.Please select file.Invalid file selected.Invalid file selected.Provide audited account statement for the last 3 years prior to application (if applicable)Commencement of operation Estimated timeline from engaging with KIPL to operation Estimated timeline from engaging with KIPL to operationText field can not be left blank.Please enter valid data.Brief Description of the Project Brief Description of the Project This Field can not be left blank.Please enter valid data.Additional Information Additional Information This Field can not be left blank.Please enter valid data.Done(Use Cropper to set image and use mouse scroller for zoom image.) Tenant₦0.00Select Your Payment GatewayPaystackHow you want to pay? Auto Debit Payment Manual PaymentPayment SummaryYour currently selected plan : , Plan Amount : Coupon Discount Amount : , Final Payable Amount: Submit
