ApplicationforProvisional Accreditation ofthe SEIAPI/PPA Program

I,

______

(Full name and positionof representative) of

______

(Entity applying for provisional accreditation)

Hereby apply to become provisionally accredited for supplying goods and services in the following areas: (please tick appropriate box)

PV Grid Connected Systems

Stand Alone PV Power Systems Level 1-Solar Home Systems

Stand Alone PV Power Systems Level 2-with or without inverters

Stand Alone PV Power Systems Level 3-Hybrid Systems

(Signature of Applicant)Date______

(Please also sign and return ethics form and provide the list of provisionally certified employees or sub-contractors)

Provisionally Certified Individuals

Our company employs or sub-contracts the following provisionally certified individuals to provide the services as listed:

Name ______

Provisionally Certified for: ______

(list areas of provisionally certification)

Provisional Certification Number______

I verify that I work with or are sub-contracted by ______(entity name)

(Signature of Applicant)Date______

Name ______

Provisionally Certified for: ______

(list areas of provisionally certification)

Provisional Certification Number______

I verify that I work with or are sub-contracted by ______(entity name)

(Signature of Applicant)Date______

Name ______

Provisionally Certified for: ______

(list areas of provisionally certification)

Provisional Certification Number______

I verify that I work with or are sub-contracted by ______(entity name)

(Signature of Applicant)Date______

Please print more pages if required

SEIAPI/PPA ACCREDITATION CODE OF ETHICS

As a provisionally accredited entity

  • shall solicit work, advertise and promote their services and products with dignity and truth, avoiding any potentially misleading statements or omissions;
  • shall apply their skill and knowledge in the interest of their clients or employers for whom they act as faithful agents or trustees;
  • shall regard as confidential any information concerning the business and technical affairs of their clients or employers;
  • shall inform their clients if circumstances arise, in which their judgment or the independence of their service may be compromised by reason of business connections, personal relationships, interests or affiliations;
  • shall deal honestly and truthfully with clients, employers and government agencies in all matters pertaining to payments, discounts, rebates and grants and the conditions applying to them;
  • shallsupply all systems in accordance with the SEIAPI/PPA guidelines and any relevant standards that are applicable in the country the system is being designed/installed.
  • shall continue their professional development throughout their careers and
  • shall not bring the sustainable energy industry into disrepute.

I on behalf of my entity agree to be bound by the rules of the Association. (Please also sign and return ethics form)

(Signature of Applicant)Date______

PAYMENT OPTIONS

Accreditation Fees is US$100 per year.

Currently there are two payment methods: credit card and Electronic Funds Transfer.

If either of these methods are not suitable for your entity please contact the secretariat on and other solutions will be investigated.

CREDIT CARD PAYMENT

Card Type:______

Card Number______

Name on Card: ______

Expiry Date:______

CVV Number______

I ______agree for Global Sustainable Energy Solutions Pty acting as secretariat for the SEIAPI to deduct US$100 form the above card

______

(Signature)

ELECTRONIC FUNDS TRANFER(EFT)

Please note the application fee is US$100 when using EFT $110 will be required to transfer to allow for the fees charged by the bank.

The following are the details for EFT:

Bank: Australia and New Zealand banking Group (ANZ)

Branch: Ulladulla Branch, 18Wason Street Ulladulla 2539, NSW Australia

Account Name: Global Sustainable Energy SolutionsProject Account

BSB:012851

Acc No: 491086004

Swiftcode: ANZBAU3M