Reductions Registry

Project Application Form

This Project Application Form must be completed and be submitted along with the Notice of Account Instructions for a new project listing. The Notice of Account Instructions may require completion and submission multiple times as the status of the documentation, the Project and/or the RERs changes.

The Notice of Registry Account Instructions, which form an integral part of this Application must be signed by both of (i) the duly authorized greenhouse gas project proponent (the "Project Proponent") and, (ii) any authorized project contact (the "Authorized Project Contact") that the Project Proponent may appoint to instruct and interact with the Reductions Registry on its behalf.

The information highlighted in green will be posted on the publicly accessible portion of the Reductions Registry.

Project Proponent Contact Information
Company Name:
Contact Name(s):
Title:
Address:
City:
Province/State:
Postal/Zip Code
Country:
Telephone: (Please include country code if outside North America)
Fax: (Please include country code if outside North America)
Contact E-mail:
Website:
Other Contact Names:
Authorized Project Contact Information
(To be completed if the Project Proponent appoints an Authorized Project Contact to instruct and interact with the Reductions Registry on its behalf.)
Company Name:
Authorized Project Contact Name(s):
Title:
Address:
City:
Province/State:
Postal/Zip Code:
Country:
Telephone: (Please include country code if outside North America)
Fax: (Please include country code if outside North America)
Contact E-mail:
Website:
Preliminary Project Information
Project Title: / Enter project title
Project Proponent/Participant(s): / Enter project proponent company name
Project Type – please indicate whether the project should be described as
reduction
or
removal: / Suggested Reduction types (these are examples only, if the type of project is not listed, please specify below. Please check only one.)
Acid Gas Injection
Biomass Energy
CO2 Injection
Cogeneration
Energy Conservation
Flaring Reduction
Flyash / Slag Cement
Fuel Switching
Geothermal Energy
Hydro Energy
Landfill Gas Capture
Process Change
Electricity Generation
Sequestration
Solar Energy
Methane Venting Reduction
Waste Diversion
Well Tie-in
Wind Energy
Zero-Till Cropping
Other reduction type, please specify / Suggested Removal types (these are examples only, if the type of project is not listed, please specify below. Please check only one.)
Agricultural sinks
no-till agriculture
shelter belts
reduced-till agriculture;
permanent cover
reduced summer fallow
Forestry sinks
afforestation
reforestation
reduced deforestation
improved forest management
pest reduction
forest fire reduction
Other removal type, please specify
Project Location: (include geographical and physical information in order to allow for unique identification and delineation of the specific extent of the project, including latitude and longitude)
Latitude:
Longitude:
City:
Province/State:
Country of Origin:
Other:
Brief Project Description:
(how will the project achieve GHG emission reductions/removals that are additional to what would have happened in the absence of the project) / Yes, please display description publicly on the registry.
No, do not display the description publicly.
GHG Sources, Sinks and Reservoirs relevant to the Project:
Project Start Date: / yyyy-MM-dd
Project End Date: / yyyy-MM-dd
Estimated Annual Emission Reductions/Removals (tonnes CO2e): / Do not enter multiple years, please enter only one value.
Estimated Lifetime Project Emission Reductions/Removals: (tonnes CO2e): / Do not enter multiple years, please enter only one value.
Applicable GHG Programme(s): / NoneOther - please specify belowReductions Registry
Other - please specify
Criteria, Procedures and/or Methodologies for Quantifying GHG Emission Reductions/Removals:
Project Validator Company Name: (if applicable and if known)
Validator(s) Contact Name(s):
Title
Address
City
Province/State
Postal/Zip Code
Country
Telephone: (Please include country code if outside North America)
Fax: (Please include country code if outside North America)
Contact E-mail:
Website:
Project Verifier Company Name: (if known)
Verifier(s) Contact Name(s):
Title
Address
City
Province/State
Postal/Zip Code
Country
Telephone: (Please include country code if outside North America)
Fax: (Please include country code if outside North America)
Contact E-mail:
Website:
Date of submission: / yyyy-MM-dd

The Reductions Registry reserves the right to contact the Project Proponent and/or the Authorized Project Contact, where applicable, in order to complete or clarify any of the foregoing information.

·  Documents are posted in the author’s language or as provided by the project proponent. Alternate language documents will be posted if provided.

·  Scanned or faxed, completed forms received by the Reductions Registry office are accepted as originals.

·  Reductions Registry requires the electronic versions of all project documentation such as GHG Assertions, GHG Reports, Validation Reports and Verification Reports, as the files received are the files posted.

Reductions Registry
Project Application Form
Version 7.0, July 2012 / Page 5 of 5

Replaces

Version 6.0, September 2009