Sample Project Application Form

CER-ERF-PAP001

FORM
CER-ERF-PAP001
V3.008/07/2015

Application to register a project

under the Carbon Credits (Carbon Farming Initiative) Act 2011

Purpose of this form

This form is to be used to apply to the Clean Energy Regulator, under section 22 of the Carbon Credits (Carbon Farming Initiative) Act 2011 (the CFI Act), for the registration of a project as an eligible offsets project.

This form is used to provide the Clean Energy Regulator with information about the person(s) responsible for carrying out a proposed project (the ‘participant’ or the ‘multiple project participants’) and the proposed activity (the ‘project’), to enable the Clean Energy Regulator to decide whether or not to register the project as an eligible offsets project under the CFI Act.

Instructions for completing this form

Please read each part of the application carefully, fully answer all the questions, sign where indicated, and attach the required documentation.

Youmust complete and submit:

Part A:Participant details
Part B: Project details
Part C: Declaration
Application checklist

To participate in the Emissions Reduction Fund, interested parties must apply to the Clean Energy Regulator to get their projects registered. If you have not provided your information to the Clean Energy Regulator already, please submit the ‘Client information form’, available from the Clean Energy Regulator websiteor by contacting 1300 553 542 as part of this project registration application.

PLEASE NOTE: Current Recognised Offset Entities under the CFI Act do not need to submit the client information again. However, if your details have changed, please inform the agency of the changes by contacting 1300 553 542.

To learn more about the steps involved in participating in the Emissions Reduction Fund, including your obligations under this initiative, please visitthe Clean Energy Regulator website.

You can choose to complete this form by:

printing the form and filling it in by hand, or
saving the form and filling in an electronic copy.

Note that if you choose the second option, there may be times when you will need to print certain sections in order to sign them or in orderto complete multiple entries for a single set of questions. These sections may be scanned back into the computer and submitted electronically with the rest of the form.

Pen colours / Please use a black or blue pen to write on the form.
Check boxes / Mark boxes like this  with a ✔ or ✘. When an instruction asks you to ‘tick’ the box, you can still use either ✔ or ✘.
Go to / Where you see an instruction like this - Go to question 5 - mark the relevant box with a ✔ or ✘and then skip to the question number shown. You do not need to answer the question(s) in between.
Where an instruction has a black double arrow (), go to the next indicated part/section. Where an instruction has a black single arrow (), go to the next question. Where an instruction has a black single arrow pointing down (), fill in the field(s) directlybelow.
Mandatory questions / If all fields in a question are mandatory and must be completed, (required) is added to the end of the question label text. If a field in a question is mandatory only IF a condition is met, (required if any) is added to the end of the question label text.
 / This symbol indicates an instruction on what to do next.
 / This symbol indicates additional useful guidance to filling in the adjacent field or section.
 / This symbol advises that more than one entry may be required for the section and therefore you may need to photocopy or print the section or fill in a duplicate section.
 / This symbol advises that additional documentation to support a claim may need to be attached to the application.
Duplex printing / This form is designed to be duplex printed to save on paper. All new sections start on the right-hand side of a page spread.

Help filling in this form

Guidance for filling in this form is available on the Clean Energy Regulator website.

If you require assistance or have any questions regarding this application process, please contact the Clean Energy Regulator general enquiries line on 1300 553 542 or email .

Submitting this form

A signed copy of this form should be kept for your records.

By post

Post your completed application with any accompanying documentation to:

Emissions Reduction Fund
Clean Energy Regulator
GPO Box 621
Canberra ACT 2601

By email

Alternatively, email your scanned, completed application to the Clean Energy Regulator at .

If the email and its attachments (the application and supporting documents) are larger than 10MB, they must be sent using multiple emails that are clearly marked (i.e. by including an identifier in the subject line, e.g.'1 of 3', '2 of 3', '3 of 3'). The signed application form must be saved as a single scanned file and not split into parts. Files may be zipped to reduce their size.

If submission occurs by email, the participant is not required to send the original hardcopy of the application by post.

V3.0 08/07/2015Application to register a project1 of 24

CER-ERF-PAP001

Part A:Participant details

Have you (the participant/multiple project participant named in this question) provided your details to the Clean Energy Regulator before? (required)

Tick the appropriate response

No / Please submit the ‘Client information form’ available from Clean Energy Regulator website, along with this application.
Yes / Select your identifier type and provide the Clean Energy Regulator issued identifier below. 
If you have submitted a ‘Client information form’ and have not yet been assigned a client identifier by the Clean Energy Regulator, please supply your application reference number.
If your details have changed since your last engagement with Clean Energy Regulator, please email with your new details.
Client ID / Recognised Offsets Entity number / ANREU account number / Application reference number
Identifier

Provide participant details (required)

Client name
Date of birth
(individual only) / Y / Y / Y / Y / M / M / D / D
Organisation identifier / ABN / ACN / ARBN / ICN

Are you one of anumber of multiple project participants of the project?

No / Go to question 4. 
Yes

Are you being appointed as the nominee of the multiple project participants for the project?

Multiple project participants of a project must appoint one of themselves as a nominee for the project.

If this option is selected, the participant named in this question will be appointed as the nominee and primary contact of the multiple project participants for the project, and will be authorised to act on behalf of all the multiple project participants in relation to the Clean Energy Regulator for the project.

All of the multiple project participants will need to provide their written consent to appointment of the nominee in Part C – Declaration.

No
Yes

Have you (the multiple project participant named in this question) provided your details to the Clean Energy Regulator before?(required if the project covered in this application has multiple project participants)

Tick the appropriate response

Provide participant details (required)

Client name
Date of birth
(individual only) / Y / Y / Y / Y / M / M / D / D
Organisation identifier / ABN / ACN / ARBN / ICN

Are you being appointed as the nominee of the multiple project participants for the project?

Multiple project participants of a project must appoint one of themselves as a nominee for the project.

All of the multiple project participants will need to provide their written consent to appointment of the nominee in Part C – Declaration.

No
Yes

Have you (the multiple project participant named in this question) provided your details to the Clean Energy Regulator before?(required if the project covered in this application has multiple project participants)

This form allows space for three multiple project participants (including the nominee). If there are more than three, please print or photocopy this question before you complete it and attach any additional pages to this form.

Tick the appropriate response

Provide participant details(required)

Client name
Date of birth
(individual only) / Y / Y / Y / Y / M / M / D / D
Organisation identifier / ABN / ACN / ARBN / ICN

Are you being appointed as the nominee of the multiple project participants for the project?

Multiple project participants of a project must appoint one of themselves as a nominee for the project.

All of the multiple project participants will need to provide their written consent to appointment of the nominee in Part C – Declaration.

No
Yes

Authorised contact person details (optional)

Do you (the participant/nominee for the project) wish to nominate a contact person for all interactions relating to the project? (required)

Yes / If Yes is selected and multiple project participants have appointed a nominee for the project, then the contact person will be the contact person of the nominee.
Please provide contact person’s details below.
No / Go to next question.

The Clean Energy Regulator may exchange information about the participant/multiple project participantsand this application with the contact person. By nominating as a contact person someone other than the participant/multiple project participants themselves, the participant/nominee for the project consents to the Clean Energy Regulator sharing any information in relation to this application and the participant/multiple project participants with the contact person.

Provide the contact person’s name and date of birth

Title / Mr / Mrs / Miss / Ms / Other
Given name
Other given name(s)
Family name
Date of birth / Y / Y / Y / Y / M / M / D / D

Provide the contact person’s contact details

Phone number / ()
Email address
Position

Provide the contact person’s address

Address line 1
Address line 2
Address line 3
Suburb/city
State/territory
Postcode
Country

Agent of the applicant(optional)

Do you (the participant/nominee for the project) wish to nominate an agent to act on your behalf for all interactions with the Clean Energy Regulator relating to the project? (required)

Yes / If Yes is selected and multiple project participants have appointed a nominee for the project, then the agent will be the agent of the nominee.
Go to next question.
No / Go to Part B.

Agent details - Individual(required if any)

Provide the agent’sdetails

Title / Mr / Mrs / Miss / Ms / Other
Given name
Other given name(s)
Family name
Date of birth / Y / Y / Y / Y / M / M / D / D

Provide the agent’s contact details

Phone number / ()
Email address

Provide the agent’s address

Address line 1
Address line 2
Address line 3
Suburb/city
State/territory
Postcode
Country

Agent details - Company(required if any)

Provide the company’s details

Company name
Organisation identifier / ABN / ACN / ARBN / ICN
Alternative organisation identifier / Number type
Number
Registration body

Provide the company’scontact details

Contact officer
Email address
Phone number / ()

Provide the company’saddress

Address line 1
Address line 2
Address line 3
Suburb/city
State/territory
Postcode
Country

Part B: Project details

Project name (required)

Consider incorporating a locality, property, business or other name to ensure the project name is unique. For example, Black Stump Flaring Project.

Please provide project name

Project name

Is the project proposed to be carried out, or being carried out,entirely within Australia? (required)

All projects must be proposed to be carried out, or be carried out, entirely within Australia. For example, projects must not include activities undertaken as part of international trips or voyages.

Tick the appropriate response

No / The project must be proposed to be carried out, or be carried out, entirely within Australia; else the project will not be eligible for registration.
Yes

Which method will or does the project use?(required)

To be assessed as eligible for registration, projects must meet the eligibility requirements set out in the chosen method.

Methods can be found at the Clean Energy Regulator website.

Please provide the full name, version and commencement date (see Part 1) of the method chosen for the project

Method

Additional information supporting the chosen method (required)

For the project to be assessed as an eligible offsets project, the participant/nominee for the project/their agent must provide additional information depending on the chosen method.

Tick one of the boxes below to indicate the category that applies to the project, then complete the relevant application form to provide additional information specific to the method

Project category: / Please complete method specific application form, along with this application:
Sequestration project / If this box is ticked, the participant/nominee for the project/their agent must complete ‘Annex A to the application to register a project: Sequestration project - additional information’and attach it to this application
Area-based emissions avoidance project / If this box is ticked, the participant/nominee for the project/their agent must complete ‘Annex B to the application to register a project: Area-based emissions avoidance project - additional information’and attach it to this application
Emissions avoidance project / If this box is ticked, the participant/nominee for the project/their agent must complete ‘Annex C to the application to register a project: Emissions avoidance project - additional information’and attach it to this application

Does the project meet the newness requirement? (required)

In determining whether the project meets the newness requirement, i.e. has not begun to be implemented, disregard the following activities undertaken or being undertaken in relation to the project: conducting a feasibility study; planning or designing; obtaining regulatory approvals; obtaining consents or advice; conducting negotiations; and sampling to establish baseline.For more information, see guidance on the newness requirement on the Clean Energy Regulator’s website.

The newness requirement means the requirement that the project has not begun to be implemented when it is registered as an eligible offsets project. Specific methods may express other requirement(s)to bein lieu of the newness requirement.

This question is not applicable if the method named under question 3 was made before 13 December 2014 and this application is made before 1 July 2015.

If a Notice of Intent for the project was given to the Clean Energy Regulator before 13 December 2014, the requirement that the project must not have begun to be implemented will be applied as at the date the Notice of Intent was given.

Tick the appropriate response

The project meets the newness requirement or, if applicable, the requirement(s) expressed by the method named in question 3 to be in lieu of the newness requirement.
Go to question 6. 
The project does not meet the newness requirement or, if applicable, the requirement(s) expressed by the method named in question 3 to be in lieu of the newness requirement.
The project must meet the newness requirement or, if applicable, the requirement(s) expressed by the method named in question 3 to be in lieu of the newness requirement; else the project will not be eligible.
The method named under question 3 was made before 13 December 2014 and this application is made before 1 July 2015.
Go to question 7. 
A Notice of Intent (NOI) for the project was given to the Clean Energy Regulator, and the project had not begun to be implemented as at the date the NOI was given.
Please provide details of the NOI below. 
Project name as provided on NOI
Day (dd) / Month (mm) / Year (yyyy)
Date NOI submitted

Are the project activities funded under any of the government programs, or do they include any activities, listed in section 21 of the Carbon Credits (Carbon Farming Initiative) Rule 2015 (rule)? (required)

For the project to be eligible for registration, the project must comply with the requirements in section 21 of the rule.

Please refer to guidance on these requirements available on the Clean Energy Regulator website.

Tick the appropriate response

No
Yes

Is the project, or any part of it, required to be carried out by or under a law of the Commonwealth, a State or a Territory (regulatory additionality requirement)? (required)

Your answer to this question must be “yes” if the project, or any part of it, is required to be carried out to meet a condition imposed by, or agreed with, a Commonwealth, State or Territory department, agency or body.