Name of the Company / Unit
Location
Industry
Contact Person
Telephone
Mobile
E-Mail
Website

TECHNICAL DETAILS

OBJECTIVE OF THE PROJECT Describe in not more than 5 Lines
PROJECT DESCRIPTION AND PROPOSED ACTIVITIES (*) About ½ page
TECHNOLOGY TO BE EMPLOYED Describe in not more than 5 lines
TYPE OF PROJECT
Greenhouse gases targeted CO2/CH4/N2O/HFCs/PFCs/SF6 (mention what is applicable)
Type of activities (*) Abatement/CO2 sequestration
LOCATION OF THE PROJECT
Country (*)
City (*)
Brief description of the location of the project No more than 3-5 lines
Organizational category (*)
Goverment
Goverment Agency
Muncipalty
Private Company
Non Govermental
Others Specify

EXPECTED SCHEDULE

Earliest project start date Year in which the plant/project activity will be operational (*)
Estimate of time required before becoming operational after approval of the PIN
Project lifetime Number of years

ENVIROMENTAL / SOCIAL BENEFITS

LOCAL BENEFITS E.g. impacts on local air, water and other pollution.
GLOBAL BENEFITS Describe if other global benefits than greenhouse gas emission reductions can be attributed to the project.
SOCIO-ECONOMIC ASPECTS
What social and economic effects can be attributed to the project and which would not have occurred in a comparable situation without that project? Indicate the communities and the number of people that will benefit from this project. About ¼ page
What are the possible direct effects (e.g. employment creation, provision of capital required, foreign exchange effects)? About ¼ page
What are the possible other effects (e.g. training/education associated with the introduction of new processes, technologies and products and/or the effects of a project on other industries)? About ¼ page

(*) – Mandatory information required Upload a brief write-up on technical details Other Details

	Did the project start on or after January 2000? (*)	Yes No
	Was CDM considered during the project planning stage? (*) (Substantial documentary evidence is required to prove that CDM was considered during project planning)	Yes No
	Is the project not mandated by a legal requirement? (*) (A CDM Project would be disqualified if it is undertaken to ensure compliance with the legal framework of the country)	Yes No
	Is the proposed project type (eg. technology or practice) not diffused in the relevant sector and region?  (Documentary evidence is necessary to support that the proposed project activity is not a common practice in the respective industrial sector.	Yes No
	Ii the project economically less attractive than other Is the project economucally less attractive than other alternatives without revenue from sale of CERs? (Investment analysis is required to prove that the project is in attractive without carbon revenues)	Yes No
	Does the project face technological barriers in implementation and operation?	Yes No
	Is there a `barrier due to prevailing practice `for the project?	Yes No
	Will the revenue from the sale of CERs be utilized to overcome barriers or economic hurdles? (A Plan for the utilization of carbon revenues ini overcomming the above stated barriers is required)	Yes No
	Does the project meet the stipulated Sustainable Development criterion of the country? (The proposed project activity should qualify under the prescibed Sustainable Development criterion for social, economic and enviromental benefits)	Yes No
	(*) – Mandatory information required