Application TO JOIN tHE
ENERGY EFFICIENCY NATIONAL PARTNERSHIP

Date:Click here to enter a date.

To: Director

Energy Efficiency and Conservation Department

National Environment Agency

Email:

Attn: EENP Secretariat

Our company, Click here to enter name of company, is interested in becoming a Partner of the Energy Efficiency National Partnership.

As a Partner of the Energy Efficiency National Partnership, we commit to continuously improving our energy performance. We will:

1)Work towards adopting in-house energy management systems. This will involve

a)Appointing an energy manager;

b)Developing an energy policy;

c)Establishing energy targets; and

d)Implementing energy efficiency improvement plans.

2)Participate in EENP Learning Events and

3)Share our energy efficiency success stories.

Details of our current energy management practices are provided in the Annex.

Our designated contact persons are indicated below. Please liaise with them to formalise our partnership.

Main Contact Person / Alternative Contact Person
Name: / Click here to enter text. / Click here to enter text. /
Designation: / Click here to enter text. / Click here to enter text. /
Email: / Click here to enter text. / Click here to enter text. /
DID: / Click here to enter text. / Click here to enter text. /

Yours faithfully,

______

Click here to enter name.

For and on behalf of

Click here to enter name of company.

Annex: Company’s Information

Company’s Primary Business or Function (please tick one):
BIOMEDICAL SCIENCES / CONSUMER BUSINESSES
Medical Technology / Food manufacturing
Pharmaceuticals & Biotechnology / Garment manufacturing
ELECTRONICS / ENERGY & CHEMICALS
Electronics Components / Petrochemical
Semiconductors / Refineries
Power Generation
INFOCOMMS & MEDIA / Chemicals
Consumer & Electronics Systems
Telco Services / TRANSPORT ENGINEERING
IT Services / Aerospace
Marine, Land, Oil & Gas
LOGISTICS
PRECISION ENGINEERING / Others:<Please specify>
HEALTH & WELLNESS
Is your company considered a small and medium-sized enterprise (i.e. a business with annual sales turnover of not more than $100 million or employing no more than 200 staff)?
Yes / No
Information on my company’s energy management:
Does your company have an energy policyor an energy improvement target? If so,please share your company’s energy policy and/or energy improvement target.
Click here to enter text.
2 / Does your company have an energy manager or a team looking into improving energy performance within the company? If so, please elaborate on how this is carried out. If not, please share your company’s upcoming plans in this area, if any.
Click here to enter text.
3 / Has your company undertaken any projects to improve on energy efficiency? If so, please share an example of such projects. If not, please share your company’s upcoming plans in this area, if any.
Click here to enter text. /
4 / Does your company monitor its energy usage?If so, please elaborate on the extent of monitoring.
Click here to enter text.
5 / What is your company’s average energy usage (in GWh per year)?
Click here to enter text. /

* Please rest assured that the information provided will be kept confidential.