Republic of the Philippines COC Application No.
:
ENERGY REGULATORY
COMMISSION
Market Operations Service
Licensing Division
QUALIFIED END-USER (QE) CERTIFICATE OF COMPLIANCE (COC) APPLICATION
QE-COC Application Form No. 1
Fill all applicable white spaces. Mark all appropriate boxes with an “X”. Write N/A if not applicable.
Attach QE-COC Form No. 1.1.
Part I – INFORMATION OF THE APPLICANT
Name of Owner/QE PUT NAME AS REFLECTED ON MERALCO BILL
Government
✘ Residential Commercial Industrial Others:1 _________
Institution
Complete Address
Unit/Room/Floor/Building No. Building Name/Tower
N/A N/A
Lot/Block/Phase Street Name
FILL OUT AS REFLECTED ON BILL N/A
Barangay /Subdivision Municipality/City
FILL OUT AS REFLECTED ON BILL FILL OUT AS REFLECTED ON BILL
Province Zip Code
FILL OUT AS REFLECTED ON BILL ENCODE ZIP CODE
Contact Number/s PROVIDE MOBILE NUMBER – VIBER CAPABLE
E-mail Address/es PROVIDE CUSTOMER’S EMAIL ADDRESS
Website
N/A
(if applicable)
Taxpayer Identification
N/A
No. (TIN) (if applicable)
Part II – REGISTRATIONS / ACCREDITATION / COMPLIANCE CERTIFICATES
Document Issued Reference No. Date Issued Validity Period
Securities and Exchange Commission (SEC) [if Corporation/Partnership]
SEC Certificate of Registration / Certificate N/A N/A N/A
of Partnership2, if applicable
Articles of Incorporation (AOIs) / Articles of N/A N/A N/A
Partnership (AOPs)3, if applicable
Department of Trade and Industry (if Sole Proprietorship)
Business Name Registration, if applicable N/A N/A N/A
Local Government Unit (LGU)
Business Permit (BP), if applicable N/A N/A N/A
Certificate of Final Electrical Inspection
(CFEI), if applicable
Note: Please provide additional sheet(s) if necessary.
PERSON WHO PROVIDED THE ABOVE INFORMATION
Name Designation
Date Accomplished
Government Issued Identification Card No.
Date Issued Place Issued
Signature
1
Please indicate (e.g. religious institution, embassy)
2
Indicate ALL subsequent amendments, if any.
3
Ibid.
Page 1 of 2
MOS-LD/Revised as of November 2023
QE-COC Application Form No. 1
Republic of the Philippines
ENERGY REGULATORY COMMISSION QE-COC Application Form No. 1.1
Market Operations Service (Solar)
Licensing Division
Fill all applicable white spaces. All values in three (3) decimal places. Write N/A if not applicable.
Attach to QE-COC Form No. 1.
QUALIFIED END-USER (SOLAR GENERATION FACILITY)
PUT NAME AS REFLECTED ON MERALCO BILL
Name of Owner/QE
Name of Facility, if N/A
applicable
Distribution Utility (DU) MERALCO
Barangay /
Lot/Block/Phase Street Name
Subdivision
FILL OUT AS REFLECTED ON
Generation Facility FILL OUT AS REFLECTED ON BILL N/A BILL
Address Municipality/City Province Zip Code
FILL OUT AS REFLECTED ON BILL FILL OUT AS REFLECTED ENCODE ZIP CODE
ON BILL
Number of Units
TECHNICAL SPECIFICATION (SOLAR)
PARTICULARS Unit No. 1 Unit No. __ Unit No. __ Unit No. __
Installation Date4 PROVIDE COMPLETE N/A N/A N/A
DATE
Test and Commissioning DO NOT FILL THIS OUT N/A N/A N/A
Date5
Economic Life PROVIDE DATA IN YRS N/A N/A N/A
INVERTER
Year Manufactured N/A N/A N/A
Manufacturer N/A N/A N/A
Serial Number N/A N/A N/A
Rated Capacity (kW) N/A N/A N/A
Dependable Capacity (kW) N/A N/A N/A
Voltage (V) N/A N/A N/A
Frequency (Hz) N/A N/A N/A
MODULES / SOLAR PANEL
Manufacturer N/A N/A N/A
No. of Solar Panels
N/A N/A N/A
Connected
Rated Capacity per panel
N/A N/A N/A
(WP)
Aggregated Rated Capacity
N/A N/A N/A
per Inverter (kWP)
Note: Please provide additional sheet(s) if necessary
PERSON WHO PROVIDED THE ABOVE INFORMATION
Name Designation
Date Accomplished
Government Issued Identification Card No.
Date Issued Place Issued
Signature
4
Indicate Actual Date of Installation of the Facility
5
Indicate Actual Date of Test and Commissioning (from start to end of Test and Commissioning)
Page 2 of 2
MOS-LD/Revised as of November 2023
QE-COC Application Form No. 1
