Hong Kong Energy Efficiency Registration Scheme for Buildings (2018)

Application Form

Part (A) : General Information of Building/Premises

(1)  Building /Premises Name
(To be shown on the certificate) / (English) ______
(Chinese)______
(2) Owner / (English) ______
(Chinese)______
(3) User / (English) ______
(if different from (2)) / (Chinese)______
(4) Address : / (English) ______
(Site location plan in A4 size to be attached.) / ______
(Chinese)______
(5) Category
(please tick as appropriate) / o New Building
o Retro-fitting Works / o Existing Building
(6) Type of Building : / o Office / o Residential / o Industrial
(please tick as appropriate) / o Hotel / o Shopping Complex / o Education
o Indoor Sports Complex
o Others (Please specify)______
(7) Gross Floor Area : / Office / m2 / Shopping Complex / m2
Residential / m2 / Educational / m2
Industrial / m2 / Indoor Sports Complex / m2
Hotel / m2 / Others / m2

(8) General building / development description

(9) Programme of project:

Commencement Date of superstructure works / construction works :
Completion Date :

(10) Submission History (Please tick as appropriate)

o This is the first submission.
o This submission is a revision of previous submission. The reference number of the previous submission is ______.


(11) Basic design parameters of energy efficiency building installations as well as a brief description of the choice of systems in the building. (Please provide additional sheet(s), if necessary)

(i) lighting installation:
(ii) air-conditioning installations:
(iii) electrical installations:
(iv) lift and escalator installations:

(12) Certification (Please tick as appropriate)

o BEAM Plus Standard / o New Buildings Version____
o Existing Buildings Version____ (Comprehensive/Selective)
o Interiors Version____
Certificate No: ______
Issue Date of Certificate: ______
Overall Rating:______
Score in Energy Use (EU) Category: ______
Copy of Certificate, softcopy of the submission on energy aspect and final assessment report issued by BEAM Society Ltd to be attached.
o Other Standard / Please specify: ______
Certificate No: ______
Issue Date of Certificate: ______
Overall Rating:______
Copy of Certificate, softcopy of the submission on energy aspect, final assessment report to be attached.
Applicant shall provide necessary supporting documents for justifying the compliance with the energy efficiency performance under this Scheme. EMSD reserves the right for the final jurisdiction on the compliance.


Part (B) : Information of Applicant

(1)  Salutation / Mr./ Mrs. /Ms./Miss (Please delete as appropriate)
(2)  Name / (English) ______
(Chinese)______
(3)  Post / ______
(4)  Contact No. / ______
(5)  E-mail Address / ______
(6)  Address / ______
______
______
(7)  Signature / ______
(8)  Date / ______

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