REA-NEP

Nigeria Electrification Programme

Setstard Solutions Ltd

Shop Energy Audit Form
Open to all — capture photos, location, and details

All fields marked * are mandatory. GPS is compulsory.

Shop Energy Audit Form

REA-NEP

Nigeria Electrification
Programme

Complete every section, capture all required photos, and your GPS location. Fields marked * are required.

Section 1: Location & Exterior Photo *

Tap to capture shop exterior *

Date

Time

State *

LGA *

GPS Coordinates *

Market / Plaza *

Section

Block

Shop Number

Shop Name *

Shop Status (circle one):

OPEN CLOSED TEMPORARILY CLOSED

Section 2: Field Agent Details *

Full Name *

Contact Number *

Section 3: Customer Details *

First Name *

Last Name *

Mobile Number *

Gender

MALE FEMALE

Section 4: Business Information

Type of Business (tick one or specify):

Barber Shop

Provision Store

Electronics

Tailoring

Restaurant / Food Vendor

Other:

Section 5: Current Energy Usage

Do you currently use a generator?

YES NO

Generator type

PETROLDIESEL

Generator size

Other power source(s) (tick all that apply):

National Grid (NEPA)

Solar

Battery / Inverter

None

Section 6: Appliance and Load Audit

List each appliance. Add rows as needed. Every appliance must have a photo.

Appliance / Equipment	Qty	Hours / Day	Photo

+ Add Another Appliance

Please capture a clear photo of each appliance listed above.

Section 7: Interior Photo *

Tap to capture shop interior *

Section 8: Observations

Section 9: Customer Consent & Signature *

Please read and confirm each item below with the customer before signing.

Shop Owner Signature *

Tap to capture owner signature *

Shop Owner Name

Date

Submitting audit…

Please do not close this page

Audit Submitted!

Thank you for completing the Shop Energy Audit.
All photos and GPS data have been recorded.