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CEPREI CEPREI CDMProjectApplicationFormPagePAGE4of6CEPREIM-37-A-2010.04PagePAGE1of6CEPREICertificationBodyCDMProjectApplicationCDM項目申請書[PleasefillintheformwithBlockLetter請用中文正楷填寫]TheClientName: ValidationVerificationandCertificationOthers: CDMProjectValidation/VerificationApplicationFormCEPREICertificationBody:我單位正式向你中心提出CDM項目審定/核查申請,認真履行有關義務,保證為審定/核查提供所需要的信息,并按規(guī)定支付費用。OurcompanyherebysubmitsapplicationforCDMProjectValidation/VerificationtoCEPREIandensuresthatwewillfollowRulesofProcedureofCEPREICertificationBody,fulfillobligationrelatedtovalidation/verification,providesinformationneededandpaysfeeinaccordancewithregulations.1.TheproposedCDMprojectnameandlocation:(ThelocationshallbedescribedbylatitudeandLongitude.)項目名稱:ProjectName: 項目地點:ProjectLocation:TheSectoralScopetheProposedProjectfallswithin:ParticipantsInformationoftheProposedCDMProject擬議CDM項目參與方信息:項目業(yè)主:ProjectOwner:買家:TheBuyer:擬議CDM項目的東道國及DNA是:HostCountryanditsDNA:擬議CDM項目買家所在國及DNA是:TheBuyer’sCountryanditsDNA:擬議項目的咨詢方是:TheConsultantCompany:擬議項目的預計年減排量:t/yearTheEstimatedERs:t/year項目中應用的方法學:Appliedmethodology(ies)intheproject:2.AppliedTypeofServiceCDMProjectValidation/CDM項目審定ApprovedMethodologies/使用已批準方法學的CDM項目審定NewMethodologies/使用新方法學的CDM項目審定bundledSmallScaleCDMProject/打捆的小CDM項目審定CDMProjectVerification/CDM項目核查InitialVerification(Optional)/初始核查(可選)PeriodicalVerification/定期核查Requestfordeviation/請求偏差Requestforrevisionofthemonitoringplan/請求監(jiān)測計劃修訂其它: Other:3.Workdateexpected/期望的工作時間:TheexpecteddateofmakingthePDDpublic期望的項目PDD公示時間: TheexpecteddateofdeliveringtheDraftValidationReport期望的審定報告草案交付時間: TheexpecteddateofmakingtheMonitoringReportpublic期望的監(jiān)測報告公示時間: TheexpecteddateofdeliveringtheDraftVerificationReport期望的核查報告草案交付時間: 4.TheannexofApplicationFormneededtosubmitbyCDMPP4.1Theannexesshouldbesubmittedforvalidation審定應提交的文件清單:Thelegalstatusdocumentsoftheprojectowner項目業(yè)主的法律地位證明文件Businesslicenseissuedbytheadministrativedepartmentofindustryandcommerce由工商行政主管部門頒發(fā)的營業(yè)執(zhí)照復印件OrganizationCodeCertificate

組織機構代碼證復印件CDM-PDD(theupdatedversion)TheLetterofApprovalissuedbythehostcountryDNA東道國DNA簽發(fā)的批準函TheLetterofApprovalissuedbyannex1countryDNA附件一國家DNA簽發(fā)的批準函FeasibilityStudyReportofprojectanditsannexes項目可研報告和相關附件EnvironmentalImpactAssessmentReportanditsapproval環(huán)境影響評價報告及其批復projectplantandconstructionlayout(iftheprojectinvolvesincapacityaddition,retrofit,rehabilitation,refurbishmentorreplacement,pleaseprovideandindicatethedifference)項目廠區(qū)和建設平面圖(如果項目涉及技改擴,則請標識出差別)Listoflawsandregulationsapplicabletotheproject(ifany)項目使用的法規(guī)清單(如有)Commentsofthelocalstakeholdersoftheproject項目當地相關的意見TherelevantdocumentsofpriorconsiderationofCDMandaddtionality項目額外性和事先考慮CDM的相關文件Others: 其他4.2Theannexesshouldbeprovidedforverification/certification核查需要提交的文件清單:Thelegalstatusdocumentsoftheproject法律證明文件Businesslicenseissuedbytheadministrativedepartmentofindustryandcommerce由工商行政主管部門頒發(fā)的營業(yè)執(zhí)照復印件OrganizationCodeCertificate組織機構代碼復印件RegisteredPDD注冊的PDDMonitoringReport監(jiān)測報告PreviousVerificationReport(ifany) 上一次的核查報告(如有)Approvalofprojectoperationfromauthorities(iftheprojectinvolved,pleaseprovide)項目運行許可(如果項目涉及,請?zhí)峁㏎ualityassurance/Qualitycontrolprocedures質量保證、質量控制程序Procedurefordatageneration,aggregation,torecording,calculationandreporting用于記錄計算和報告的數據收集、匯總程序Otherrelevantdocuments,suchasflowdiagrams,equipmentspecification,statistical其他相關文件,如流程圖,設備規(guī)格書,統(tǒng)計表Others: 賽寶 CDM項目調查表CEPREIM-04-D-2007.10共6頁第5頁賽寶 質量體系審核調查表CEPREIM-04-D-2006.1共6頁第3頁 CEPREICDM項目調查表 CEPREICDMProjectQuestionnaire共6頁第6頁CEPREIM-04-D-2007.10CEPREIM-37-A-2010.04PagePAGE5of6AnnexCDMProjectValidation/VerificationQuestionnaireThefollowingitemsareveryimportantforustounderstandyourorganization’sCDMprojectsituationandprovideyouwithexcellentvalidation/verification/certificationservice,sopleasefillinasdetailedaspossible.Pleasefillin“notapplicable”ifacertainitemisnotapplicableorcannotbeanswered.PleasetickinthecorrespondingcolumnAnyquestionorcomments,pleasefeelfreetocontactus.(Pleaseseethelastpageforouraddressandcontactnumber.)1.0Informationofthe(proposed)CDMprojectowner1.1PhysicalAddress中文EnglishZipTelFaxE-mailLegalrepresentativeTitleCDMManagerTitleCoordinator1TitleCoordinator2Title1.2Off-dayinyourorganization:MondayTuesdayWednesdayThursdayFridaySaturdaySundayExplanation: Workinghours: morningfromto;afternoonfromto1.3Thetripfromairporttoyourorganization(outsideGuangdong)last:hours/minutes1.4WhethertheproposedCDMprojectinvolvesdiscretesite?N/AYes,pleasedescribetheactivitieswithineverylocation:2.0InformationoftheproposedCDMconsultancy2.1PhysicalAddress中文EnglishZipTelFaxE-mailLegalrepresentativeTitleCDMManagerTitleCoordinator1TitleCoordinator2Title2.2Off-dayinyourorganization:MondayTuesdayWednesdayThursdayFridaySaturdaySundayExplanation: Workinghours: morningfromto;afternoonfromto3.0InformationoftheproposedCDMprojectbuyer3.1PhysicalAddress中文EnglishZipTelFaxE-mailLegalrepresentativeTitleCDMManagerTitleCoordinator1TitleCoordinator2Title3.2Off-dayinyourorganization:MondayTuesdayWednesdayThursdayFridaySaturdaySundayExplanation: Workinghours: morningfromto;afternoonfromto4.0Saf

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