/ FOUNDATION FOR INDUSTRIAL DEVELOPMENT - MANAGEMENT SYSTEM CERTIFICATION INSTITUTE (THAILAND), 1025 2nd ,11th ,18th FLOOR YAKULT BUILDING, SAMSEN-NAI, PHAYATHAI, BANGKOK 10400 TEL. (02) 617-1723-36 FAX. (02) 617-1709

REQUEST FORSERVICES

A. DETAIL OF APPLICANT

Name of Organization/Company
Postal Address
Web site
Contact Person (1)
Position
E-mail
Telephone
Fax no.
Contact Person (2)
Position
E-mail
Telephone
Fax no.
Name of Consultancy Organization (PDD)
Contact person
Position
E-mail
Telephone
Name of Consultancy Organization (Monitoring Report)
Contact person
Position
E-mail
Telephone
Name of Financing Organization
Contact person
Position
E-mail
Telephone
Audit Language

B. SERVICE(S) REQUESTED

 Validation & Registration for CDM Project
(please complete item C, F and G) /  Large Scale Project
 Small Scale Project
 Verification & Certification for CDM Project
(please complete item D, F and G) /  Large Scale Project
 Small Scale Project
 Submission of new methodology
(please complete item E and F ) /  Request for deviation
(please complete item D and F)
 Others (please specify):
______
______

C. INFORMATION FORVALIDATION & REGISTRATION

i. Type of Project:
 / Sectoral Scope 1: Energy industries (renewable/non-renewable)
 / Sectoral Scope 13: Waste handling and disposal
ii. Project name
iii. Location of the project
iv. Short description of the project activity and technology used
v. Is there the LoA from DNA? /  Yes
 No
vi. Which approved methodology (ies) used for the baseline and monitoring plan (including version no.)? If a new methodology is being submitted, please fill up and complete item E.
vii. Total estimated CERS
viii. List of requested documents (Validation)
The listed documentation is required before the desk review during the validation of a CDM project:
  1. The draft project or programme design document of the CDM project activity or PoA to be validated, that defines the project boundaries and sites included in the assessment, the nature of the data needed for validation and the CDM baseline and monitoring methodology(ies) applied

  1. Scope of validation

  1. Investment analysis/financial calculation sheet

  1. CERs calculation sheet

  1. The feasibility study report (if available)

  1. Approval of feasibility study report (if available)

  1. EIA or IEE report (if available)

  1. Approval of EIA or IEE report (if available)

  1. The qualification proofs of the project host and the developer (for example, the copy of business license)

  1. Evidence showing the decision to do CDM project / Letter of Intent submitted to TGO and/or the UNFCCC, like the confirmation from UNFCCC on submission of “Prior Consideration of the CDM Form (F-CDM-Prior consideration)”

  1. Information about the project participants and/or coordinating/managing entity, the host Party and its designated national authority (DNA);

  1. The letters of approval or the letters of no objection from the DNAs of the Parties included in the PDD

  1. Information about persons or organizations engaged in the identification, development, consultancy and financing of the project activity or PoA

  1. Site layout plan with clear indication of CDM project location and boundary or similar

  1. The laws and regulations applicable to the project activities

  1. The process and related records of project stakeholder opinions

  1. Modalities of Communication Form (F-CDM-MOC) submitted to UNFCCC

  1. Contract period and the liability conditions

  1. Other documents (if available):

  • Any construction permits, approvals

  • Any documents relevant to grid connection like power purchase contract

  • Documents regarding monitoring (such as manual, training plan etc.)

  • Documents regarding the financial analysis (such as evidence for benchmark)

  • Any purchase contracts or receipts for equipment

  • Any agreements with bank on loans or grants

D. INFORMATION FOR VERIFICATION & CERTIFICATION

i. Type of Project:
 / Sectoral Scope 1: Energy industries (renewable/non-renewable)
 / Sectoral Scope 13: Waste handling and disposal
ii. Title of registered project
iii. Date of project registration
iv. The registration number
v. Please specify the sectoral scope no. for which the project has been registered
vi. Which methodology (ies) used in the registered project (including version no.)?
vii. Description of the deviation from the registered PDD (Notification of change or post validation changes)
viii. Total estimated CERS over project life
ix. Estimated CERs generated since last verification or start of project
x. Proposed Monitoring Period
xi. Have any modifications been made to the monitoring plan? If yes, please describe. /  Yes
 No
xii. Does the monitoring plan require monitoring of both the baseline and with-project scenarios or the with-project scenario only (i.e. is the baseline an ex-post baseline)? /  Yes
 No
xiii. Does the monitoring plan include steps to monitor leakage? /  Yes
 No
xiv. Does the monitoring plan include environmental and social parameters? If yes, please describe /  Yes
 No
xv. List of requested documents (Verification)
The listed documentation is required before the desk review during the verification of a CDM project:
  1. The registered project or programme design document of the CDM project activity or PoA to be verified/certified, that defines the project boundaries and sites included in the assessment, the nature of the data needed for verification/cerification and the CDM baseline and monitoring methodology(ies) applied

  1. Scope of verification/cerification

2. The final validation report
3. The monitoring report of implementation
4. The quality control (QC) and quality assurance (QA) procedure used for the monitoring equipment and data collection
5. ER calculation sheet
6. Information about the project participants and/or coordinating/managing entity, the host Party and its designated national authority (DNA)
7. Information about persons or organizations engaged in the identification, development, consultancy and financing of the project activity or PoA
8. Contract period and the liability conditions
9. Other documents (if available):
  • Flow chart of manufacturing

  • Technical charting

E. SUBMISSION OF NEW METHODOLOGY

i. Technology applied
ii. CDM sectoral scope covering this project
iii. Please briefly describe baseline and with project scenarios, indicating why the project is additional to business as usual and why it reduces GHG emissions to the atmosphere or increases carbon appropriation
iv. Deadline for submission (i.e. which meeting of the Meth Panel)

F. MANAGEMENT SYSTEM STATUS

i. Has your organization established documentation/procedures related to the project activity operation and maintenance? /  Yes
 No
ii. Is you organization certified to any management system? If yes, please clatify. /  Yes
 No

G. TIMING AND SAFETY REQUIREMENT

Timing
i. Proposed start date for the validation or verification exercise
ii. Propose start date for the project or the stage of implement of the project
Health and Safety
i. Are there any health and safety requirements for visiting the site? If yes, please give details.
Application Request for DOE Services completed by:
Signature and Position:
Date:
Office Use
Application form checked by:
Signature and Position:
Date:

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CCS-FM-011-01Rev.408/09/2016