STANDARD FORM BM V-2
REQUEST FOR APPROVAL
OF TECHNICAL INFRASTRUCTURE CONNECTION
REQUESTING
ORGANIZATION
THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
No………
............., date....
On Request for approval of the
technical infrastructure
connection ……. of project…
To: Danang Hi-Tech Park Management Board.
I. Name of office: .............................................................................................................
- Permanent address: .........................................................................................................
- Tel: .................................................................................................................................
II. Construction location: .............................................................................................
- Land lot No: ............................................... Area :.....................................................m2
- At :...................................................................................................................................
III. Content approval: Connection of technical infrastructure.
1. Transport
+ Flow, loading capacity:..................................................................................................
+ Location, altitude, technical parameters of connecting points: ..................................
2. Feed
+ Power consumption: ...............................................................................................KW
+ Location, altitude, technical parameters of connecting points: ...................................
3. Water feed
+ Power consumption:...............................................................................................m3/h
+ Location, altitude, technical parameters of connecting points: ...................................
4. Sewage drainage
+ The total amount of waste: ............................................................................................
+ Location, altitude, technical parameters of connecting points: ...................................
5. Related information ......................................................................................................
Pledge: We undertake to strictly conform to the content in this request form as
approved by the Management Board. Where error(s) occur, we willingly undertake to
dismantle and accept responsibility for the error(s) as defined by the regulations.
REQUESTING ORGANIZATION
(Specify full name, title, sign and seal seal)
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