2016 Gulf Carbon Trust - All Rights Reserved

المجلس الخليجي للبصمة الكربونية

GULF CARBON TRUST

PROJECT

SUBMISSION

FORM

v1.0 - 2016

© 2016 Gulf Carbon Trust - All rights reserved

1.1PROJECT INFORMATION -ORGANIZATIONAL

1.1.1PROJECTOWNER

Legal Structure
Exact legal name of entity (or individual) submitting the project
Official registry number of entity (or individual)
Address, tel. number, email address
Banking details (name of bank, account number etc.) (This information can be sent to GCT confidentially should project owner choose to do so)
Short profile of the entity (or individual) submitting the project)

1.1.2CONTACT AT PROJECTOWNER

Ms/Mr
Title
Second name
First name
Telephone number/s (Mobile and Landline)
Email address

1.2PROJECT INFORMATION –ADMINISTRATIVE

1.2.1PROJECTDETAILS

Ms/Mr
Title
Second name
First name
Telephone number/s (Mobile and Landline)
Email address

1.2.2ADVISORS/ENGINEERINGCOMPANIES

Company name
Company contact
Address
First name
Telephone number/s (Mobile and Landline)
email
Company name
Company contact
Address
First name
Telephone number/s (Mobile and Landline)
email

1.3PROJECT INFORMATION -TECHNICAL

The technical descriptions of the projects will vary with different applied baseline and monitoring methodologies (or “methodologies”):

1.3.1TECHNICAL DESCRIPTION

Provide a brief description of the project activity in accordance with applicable provisions related to the description of project in the GCT Project Standard (Including the pre-project scenario prior to the implementation of the project activity).

Describe the technologies and measures to be employed and/or implemented by the project, including a list of the facilities, systems and equipment that will be installed and/or modified by the project.

1.3.2APPLICABILITY CRITERIA

Describe how the project meets the applicability criteria of the appliedGCT Program Methodology.

1.3.3BASELINE SCENARIO

Describe the baseline scenario as identified according to the applied methodology.

1.3.4ADDITIONALITY

Describe how the project meets the additionality test according to the applied methodology.

1.3.5EMISSION REDUCTIONS

Provide estimation of GHG emission reductions according to the applied methodology. This includes the estimation of baseline emissions, project emissions and leakage emissions.

1.3.6ENVIRONMENTALIMPACT ASSESSMENT

Where relevant, provide a copy of the Environmental Impact Assessment (EIA) or provide evidence that an EIA is not required.

1.3.7OTHERINFORMATION

Provide any other information deemed to be relevant (e.g. licenses, permits etc.).

1.3.8MONITORING

Provide the relevant information on assumptions, data sources, monitoring frequency, instrumentation adopted, measurement process and data vintage used for the baseline, project and leakage parameters, in accordance with the requirements of methodology, used to calculate emission reductions.

Version / Date / Comment
V 1.0 / 01/11/2016 / Initial version released under GCT Program Version 1