Questionnaire: Greenhouse Gas Emissions l Carbon Free Zone

Please fill out the questionnaire below which allows Carbon Free Zone to prepare a quote for GHG emissions consulting and verification.

Date

Section 1: Administrative

1.1 Nature of Work

Name of Project Participant

First Last

Type of Service

Proposal For

1.2 Client Contact Information

Name of Key Contact(Required)

First Last

Role of Key Contact

Contact Phone(Required)

Contact Email(Required)

Legal Entity Name

Legal Entity Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1.3 Declaration of Impartiality

Has Carbon Free Zone Provided Any Services to Company/Project?

Yes

If Yes, Provide the Details

Authorized Person Name

First Last

Services Date

Section 2: Project Details

Title of Project

If Registered, UNFCCC/GS Registration No.

Scale of the Project

Location of the Project

Name of CME/CPA Implementer

First Last

Host Country/Party

DNA (s)

Methodology & Version

Scope of Project

If Validation, Start Date of the Project Activity

Analysis to Prove Additionally

Estimated Annual CERs

Annual CERs Claimed

If Verification, Monitoring Period

Periodic Verification Number

If Multiple Sites, Number of Sites

Specify any Liability

Section 2: Safety and Travel

Any Safety Precaution to be Taken for Site Visit

Yes

If Yes, Provide the Details

Nearest Airport

Travel Time

Project Questionnaire

PROJECT: GREENHOUSE GAS (GHG) EMISSIONS

Section 1: Administrative

Section 2: Project Details

Section 2: Safety and Travel

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