質(zhì)量體系認(rèn)證申請(qǐng)書(shū)-賽寶認(rèn)證中心

CEPREI CEPREI CDMProjectApplicationFormPagePAGE4of6CEPREIM-37-A-2010.04PagePAGE1of6CEPREICertificationBodyCDMProjectApplicationCDM項(xiàng)目申請(qǐng)書(shū)[PleasefillintheformwithBlockLetter請(qǐng)用中文正楷填寫(xiě)]TheClientName: ValidationVerificationandCertificationOthers： CDMProjectValidation/VerificationApplicationFormCEPREICertificationBody:我單位正式向你中心提出CDM項(xiàng)目審定/核查申請(qǐng)，認(rèn)真履行有關(guān)義務(wù)，保證為審定/核查提供所需要的信息，并按規(guī)定支付費(fèi)用。OurcompanyherebysubmitsapplicationforCDMProjectValidation/VerificationtoCEPREIandensuresthatwewillfollowRulesofProcedureofCEPREICertificationBody,fulfillobligationrelatedtovalidation/verification,providesinformationneededandpaysfeeinaccordancewithregulations.1.TheproposedCDMprojectnameandlocation:（ThelocationshallbedescribedbylatitudeandLongitude.）項(xiàng)目名稱(chēng):ProjectName: 項(xiàng)目地點(diǎn)：ProjectLocation:TheSectoralScopetheProposedProjectfallswithin：ParticipantsInformationoftheProposedCDMProject擬議CDM項(xiàng)目參與方信息：項(xiàng)目業(yè)主：ProjectOwner:買(mǎi)家：TheBuyer:擬議CDM項(xiàng)目的東道國(guó)及DNA是：HostCountryanditsDNA:擬議CDM項(xiàng)目買(mǎi)家所在國(guó)及DNA是：TheBuyer’sCountryanditsDNA:擬議項(xiàng)目的咨詢方是：TheConsultantCompany:擬議項(xiàng)目的預(yù)計(jì)年減排量：t/yearTheEstimatedERs:t/year項(xiàng)目中應(yīng)用的方法學(xué)：Appliedmethodology(ies)intheproject:2.AppliedTypeofServiceCDMProjectValidation/CDM項(xiàng)目審定ApprovedMethodologies/使用已批準(zhǔn)方法學(xué)的CDM項(xiàng)目審定NewMethodologies/使用新方法學(xué)的CDM項(xiàng)目審定bundledSmallScaleCDMProject/打捆的小CDM項(xiàng)目審定CDMProjectVerification/CDM項(xiàng)目核查InitialVerification(Optional)/初始核查（可選）PeriodicalVerification/定期核查Requestfordeviation/請(qǐng)求偏差Requestforrevisionofthemonitoringplan/請(qǐng)求監(jiān)測(cè)計(jì)劃修訂其它： Other:3.Workdateexpected/期望的工作時(shí)間：TheexpecteddateofmakingthePDDpublic期望的項(xiàng)目PDD公示時(shí)間： TheexpecteddateofdeliveringtheDraftValidationReport期望的審定報(bào)告草案交付時(shí)間： TheexpecteddateofmakingtheMonitoringReportpublic期望的監(jiān)測(cè)報(bào)告公示時(shí)間： TheexpecteddateofdeliveringtheDraftVerificationReport期望的核查報(bào)告草案交付時(shí)間： 4.TheannexofApplicationFormneededtosubmitbyCDMPP4.1Theannexesshouldbesubmittedforvalidation審定應(yīng)提交的文件清單:Thelegalstatusdocumentsoftheprojectowner項(xiàng)目業(yè)主的法律地位證明文件Businesslicenseissuedbytheadministrativedepartmentofindustryandcommerce由工商行政主管部門(mén)頒發(fā)的營(yíng)業(yè)執(zhí)照復(fù)印件OrganizationCodeCertificate

組織機(jī)構(gòu)代碼證復(fù)印件CDM-PDD（theupdatedversion）TheLetterofApprovalissuedbythehostcountryDNA東道國(guó)DNA簽發(fā)的批準(zhǔn)函TheLetterofApprovalissuedbyannex1countryDNA附件一國(guó)家DNA簽發(fā)的批準(zhǔn)函FeasibilityStudyReportofprojectanditsannexes項(xiàng)目可研報(bào)告和相關(guān)附件EnvironmentalImpactAssessmentReportanditsapproval環(huán)境影響評(píng)價(jià)報(bào)告及其批復(fù)projectplantandconstructionlayout（iftheprojectinvolvesincapacityaddition,retrofit,rehabilitation,refurbishmentorreplacement,pleaseprovideandindicatethedifference）項(xiàng)目廠區(qū)和建設(shè)平面圖（如果項(xiàng)目涉及技改擴(kuò)，則請(qǐng)標(biāo)識(shí)出差別）Listoflawsandregulationsapplicabletotheproject（ifany）項(xiàng)目使用的法規(guī)清單（如有）Commentsofthelocalstakeholdersoftheproject項(xiàng)目當(dāng)?shù)叵嚓P(guān)的意見(jiàn)TherelevantdocumentsofpriorconsiderationofCDMandaddtionality項(xiàng)目額外性和事先考慮CDM的相關(guān)文件Others： 其他4.2Theannexesshouldbeprovidedforverification/certification核查需要提交的文件清單:Thelegalstatusdocumentsoftheproject法律證明文件Businesslicenseissuedbytheadministrativedepartmentofindustryandcommerce由工商行政主管部門(mén)頒發(fā)的營(yíng)業(yè)執(zhí)照復(fù)印件OrganizationCodeCertificate組織機(jī)構(gòu)代碼復(fù)印件RegisteredPDD注冊(cè)的PDDMonitoringReport監(jiān)測(cè)報(bào)告PreviousVerificationReport（ifany） 上一次的核查報(bào)告（如有）Approvalofprojectoperationfromauthorities（iftheprojectinvolved,pleaseprovide）項(xiàng)目運(yùn)行許可（如果項(xiàng)目涉及，請(qǐng)?zhí)峁㏎ualityassurance/Qualitycontrolprocedures質(zhì)量保證、質(zhì)量控制程序Procedurefordatageneration,aggregation,torecording,calculationandreporting用于記錄計(jì)算和報(bào)告的數(shù)據(jù)收集、匯總程序Otherrelevantdocuments,suchasflowdiagrams,equipmentspecification,statistical其他相關(guān)文件，如流程圖，設(shè)備規(guī)格書(shū)，統(tǒng)計(jì)表Others： 賽寶 CDM項(xiàng)目調(diào)查表CEPREIM-04-D-2007.10共6頁(yè)第5頁(yè)賽寶 質(zhì)量體系審核調(diào)查表CEPREIM-04-D-2006.1共6頁(yè)第3頁(yè) CEPREICDM項(xiàng)目調(diào)查表 CEPREICDMProjectQuestionnaire共6頁(yè)第6頁(yè)CEPREIM-04-D-2007.10CEPREIM-37-A-2010.04PagePAGE5of6AnnexCDMProjectValidation/VerificationQuestionnaireThefollowingitemsareveryimportantforustounderstandyourorganization’sCDMprojectsituationandprovideyouwithexcellentvalidation/verification/certificationservice,sopleasefillinasdetailedaspossible.Pleasefillin“notapplicable”ifacertainitemisnotapplicableorcannotbeanswered.PleasetickinthecorrespondingcolumnAnyquestionorcomments,pleasefeelfreetocontactus.（Pleaseseethelastpageforouraddressandcontactnumber.）1.0Informationofthe(proposed)CDMprojectowner1.1PhysicalAddress中文EnglishZipTelFaxE-mailLegalrepresentativeTitleCDMManagerTitleCoordinator1TitleCoordinator2Title1.2Off-dayinyourorganization：MondayTuesdayWednesdayThursdayFridaySaturdaySundayExplanation： Workinghours： morningfromto；afternoonfromto1.3Thetripfromairporttoyourorganization(outsideGuangdong)last：hours/minutes1.4WhethertheproposedCDMprojectinvolvesdiscretesite？N/AYes，pleasedescribetheactivitieswithineverylocation：2.0InformationoftheproposedCDMconsultancy2.1PhysicalAddress中文EnglishZipTelFaxE-mailLegalrepresentativeTitleCDMManagerTitleCoordinator1TitleCoordinator2Title2.2Off-dayinyourorganization：MondayTuesdayWednesdayThursdayFridaySaturdaySundayExplanation： Workinghours： morningfromto；afternoonfromto3.0InformationoftheproposedCDMprojectbuyer3.1PhysicalAddress中文EnglishZipTelFaxE-mailLegalrepresentativeTitleCDMManagerTitleCoordinator1TitleCoordinator2Title3.2Off-dayinyourorganization：MondayTuesdayWednesdayThursdayFridaySaturdaySundayExplanation： Workinghours： morningfromto；afternoonfromto4.0Saf