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‫ﺳﺎﺯﻭ ﻛﺎﺭ ﻓﻌﺎﻟﻴﺖ ﺩﺭ ﺑﺎﺯﺍﺭ ﻋﻤﺪﻩﻓﺮﻭﺷﻲ ﺑﺮﻕ ﺍﻳﺮﺍﻥ‬

              ‫ﻓﺮﻡ ﺍﻋﺘﺮﺍﺽ ﺷﻤﺎﺭﻩ ) ‪ ( 1‬ﺟﻬﺖ ﺍﺭﺟﺎﻉ ﺑﻪ ﻣﻌﺎﻭﻧﺖ ﺑﺎﺯﺍﺭ ﺑﺮﻕ‬

‫ﺷﻤﺎﺭﻩ‪:‬‬                                                                ‫ﺍﺯ‪ :‬ﺷﺮﻛﺖ ‪ /‬ﺳﺎﺯﻣﺎﻥ ‪:‬‬

    ‫ﺗﺎﺭﻳﺦ ‪:‬‬                                     ‫ﺑﻪ ‪ :‬ﺷﺮﻛﺖ ﻣﺪﻳﺮﻳﺖ ﺷﺒﻜﻪ ﺑﺮﻕ ﺍﻳﺮﺍﻥ – ﻣﻌﺎﻭﻧﺖ ﺑﺎﺯﺍﺭ ﺑﺮﻕ‬

‫ﺷﻤﺎﺭﻩ ﻓﺎﻛﺲ ‪:‬‬  ‫ﺷﻤﺎﺭﻩ ﺗﻤﺎﺱ ﻣﺴﺘﻘﻴﻢ ‪:‬‬                                     ‫ﭘﺴﺖ ﺍﻟﻜﺘﺮﻭﻧﻴﻜﻲ ‪: Email‬‬

                                                ‫‪ -1‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﻮﺍﺭﺩ ﺯﻳﺮ ﻋﻨﻮﺍﻥ ﺍﻋﺘﺮﺍﺽ ﺧﻮﺩ ﺭﺍ ﻣﺸﺨﺺ ﻛﻨﻴﺪ‪.‬‬

‫ﺏ ‪ -‬ﺍﻃﻼﻋﺎﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﺧﺮﻳﺪﺍﺭﺍﻥ ﺍﻧﺮژﻱ‬                                    ‫ﺍﻟﻒ ‪ -‬ﺍﻃﻼﻋﺎﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﻓﺮﻭﺷﻨﺪﮔﺎﻥ ﺍﻧﺮژﻱ‬

                                                ‫ﺗﻮﺍﻥ ﻭ ﻗﻴﻤﺖ ﭘﻴﺸﻨﻬﺎﺩﻱ‬  ‫ﺁﺭﺍﻳﺶ ﻧﻬﺎﻳﻲ ﻭ ﺍﻗﺘﺼﺎﺩﻱ ﺑﺎﺯﺍﺭ‬

                                                                      ‫ﻓﺮﻭﺷﻨﺪﻩ‬

                      ‫ﻣﻘﺪﺍﺭ ﭘﻴﺶ ﺑﻴﻨﻲ ﻧﻴﺎﺯ ﻣﺼﺮﻑ‬  ‫ﻣﻴﺰﺍﻥ ﻭ ﻣﺒﻠﻎ ﺧﺴﺎﺭﺕ‬    ‫ﻣﻴﺰﺍﻥ ﻭ ﻣﺒﻠﻎ ﺁﻣﺎﺩﮔﻲ ﭘﺮﺩﺍﺧﺖ ﺷﺪﻩ‬
                 ‫ﻣﻘـﺪﺍﺭ ﻭ ﻧﺮﺥ ﻗﺪﺭﺕ ﺩﺭﺧﻮﺍﺳﺘﻲ‬
                                                ‫ﻣﻴﺰﺍﻥ ﻣﺼﺮﻑ ﺩﺍﺧﻠﻲ‬      ‫ﻣﺒﻠﻎ ﺟﺮﻳﻤﻪ ﻋﺪﻡ ﻫﻤﻜﺎﺭﻱ‬
                             ‫ﻧـﺮﺥ ﺍﻧﺮژﻱ ﻣﺼﺮﻓﻲ‬
             ‫ﺍﺿﺎﻓﻪ ﭘﺮﺩﺍﺧﺖ ﺁﺯﻣﻮﻥ ﻧﺎﻣﻮﻣﻖ ﻣﺼﺮﻑ‬     ‫ﻣﺒﻠﻎ ﻛﺴﺮ ﺩﺭﺁﻣﺪ ﻧﺎﺷﻲ ﺍﺯ ﻋﺪﻡ ﻣﻮﻓﻘﻴﺖ ﺩﺭ ﺁﺯﻣﻮﻥ ﻇﺮﻓﻴﺖ‬

                  ‫ﻋﺪﻡ ﺍﻋﻤﺎﻝ ﺍﻃﻼﻋﺎﺕ ﺧﺎﻣﻮﺷﻲﻫﺎ‬                           ‫ﺑﻬﺎﻱ ﺧﺪﻣﺎﺕ ﻛﻨﺘﺮﻝ ﺍﻭﻟﻴﻪ ﻓﺮﻛﺎﻧﺲ‬
‫ﺍﻟﮕﻮﺭﻳﺘﻢ ﻣﺤﺎﺳﺒﺎﺗﻲ ﭘﺮﺩﺍﺧﺖ ﺻﻮﺭﺗﺤﺴﺎﺏ ﺧﺮﻳﺪﺍﺭﻥ‬
                                                                      ‫ﺑﻬﺎﻱ ﺍﻧﺮژﻱ ﻭ ﺁﻣﺎﺩﮔﻲ ﺧﺪﻣﺎﺕ ﺗﻮﺍﻥ ﺭﺍﻛﺘﻴﻮ‬

                                                                      ‫ﻣﻴﺎﻧﮕﻴﻦ ﻣﺘﻐﻴﺮ ﻫﺰﻳﻨﻪ ﺗﻮﻟﻴﺪ)‪(AVC‬‬

                                                ‫ﺍﻃﻼﻋﺎﺕ ﻣﺮﺑﻮﻁ ﺑﻪ ﺧﻄﻮﻁ ﻭ ﺗﺮﺍﻧﺴﻬﺎ ﻓﻮﻕ ﺗﻮﺯﻳﻊ )‪ 63‬ﻭ ‪ 132‬ﻛﻴﻠﻮﻭﻟﺖ(‬

                                                ‫ﺍﻟﮕﻮﺭﻳﺘﻢ ﻣﺤﺎﺳﺒﺎﺗﻲ ﭘﺮﺩﺍﺧﺖ ﺻﻮﺭﺗﺤﺴﺎﺏ ﻓﺮﻭﺷﻨﺪﮔﺎﻥ‬

                                                ‫ﺍﻟﮕﻮﺭﻳﺘﻢ ﻣﺤﺎﺳﺒﺎﺗﻲ ﭘﺮﺩﺍﺧﺖ ﺻﻮﺭﺗﺤﺴﺎﺏ ﺧﺪﻣﺎﺕ ﺍﻧﺘﻘﺎﻝ‬

‫ﺩﺭ ﺻﻮﺭﺗﻴﻜﻪ ﺍﻋﺘﺮﺍﺽ ﺷﻤﺎ ﻫﻴﭻ ﻳﻚ ﺍﺯ ﻣﻮﺍﺭﺩ ﺫﻛﺮ ﺷﺪﻩ ﺩﺭ ﻓﻮﻕ ﺭﺍ ﺷﺎﻣﻞ ﻧﺸﻮﺩ‪ ،‬ﻋﻨﻮﺍﻥ ﺍﻋﺘﺮﺍﺽ ﺧﻮﺩ ﺭﺍ ﺑﻴﺎﻥ ﻧﻤﺎﻳﻴﺪ‪.‬‬

                                                ‫‪ -2‬ﻣﻮﺭﺩ ﺍﻋﺘﺮﺍﺽ ﺧﻮﺩ ﺭﺍ ﺑﻄﻮﺭ ﻣﺨﺘﺼﺮ ﺷﺮﺡ ﺩﻫﻴـــﺪ‪.‬‬

‫‪ -3‬ﻣﺪﺍﺭﻛﻲ ﺭﺍ ﻛﻪ ﺟﻬﺖ ﺗﺎﻳﻴﺪ ﺍﺩﻋﺎﻫﺎﻱ ﻣﻄﺮﺡ ﺷﺪﻩ ﺑﻪ ﻫﻤﺮﺍﻩ ﻓﺮﻡ ﺍﻋﺘﺮﺍﺽ ﺿﻤﻴﻤﻪ ﻧﻤﻮﺩﻩ ﺍﻳﺪ ﺑﻪ ﺗﺮﺗﻴﺐ ﺫﻛﺮ ﻧﻤﺎﻳﻴﺪ‪.‬‬

‫ﺍﻳﻨﺠﺎﻧﺐ ‪ .................‬ﺑﻪ ﻧﻤﺎﻳﻨﺪﮔﻲ ﺍﺯ ﺷﺮﻛﺖ‪ /‬ﺳﺎﺯﻣﺎﻥ ‪ .................‬ﺍﻋﺘﺮﺍﺽ ﻛﺘﺒﻲ ﺧﻮﺩ ﺭﺍ ﻧﺴﺒﺖ ﺑﻪ‬
‫ﻋﻨﻮﺍﻥ ﺍﻋﺘﺮﺍﺽ ﻣﺸﺨﺺ ﺷﺪﻩ ﺩﺭ ﺍﻳﻦ ﻓﺮﻡ‪،‬ﺍﻋﻼﻡ ﺩﺍﺷﺘﻪ ﻭ ﺍﺯ ﻣﻌﺎﻭﻧـﺖ ﺑـﺎﺯﺍﺭ ﺑـﺮﻕ ﺗﻘﺎﺿـﺎﻱ ﭘﻴﮕﻴـﺮﻱ ﻭ‬

                                                              ‫ﺍﻗﺪﺍﻣﺎﺕ ﻻﺯﻡ ﺩﺭ ﺍﻳﻦ ﺯﻣﻴﻨﻪ ﺭﺍ ﺩﺍﺭﻡ‪.‬‬

                                        ‫ﺗﺎﺭﻳﺦ ﻭ ﺍﻣﻀﺎء‬

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