FORM Application to register a project CER-ERF- PAP001 · 2015. 8. 25. · V3.0 08/07/2015...

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V3.0 08/07/2015 Application to register a project 1 of 24 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. You must 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 website or 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 visit the 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. FORM CER-ERF-PAP001 V3.0 08/07/2015

Transcript of FORM Application to register a project CER-ERF- PAP001 · 2015. 8. 25. · V3.0 08/07/2015...

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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.

You must 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 website or 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 visit the 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.

FORM

CER-ERF-PAP001

V3.0 08/07/2015

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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 order to 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) directly below.

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 [email protected].

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

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By email

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

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.

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Part A: Participant details 1. 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 [email protected] 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 a number 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

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2. 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

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 [email protected] 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 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

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3. 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

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 [email protected] 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 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

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Authorised contact person details (optional)

4. 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 participants and 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

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Agent of the applicant (optional)

5. 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.

6. Agent details - Individual (required if any)

Provide the agent’s details

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

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7. 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’s contact details

Contact officer

Email address

Phone number ( )

Provide the company’s address

Address line 1

Address line 2

Address line 3

Suburb/city

State/territory

Postcode

Country

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Part B: Project details 1. 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

2. 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

3. 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

4. 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

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5. 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 be in 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

6. 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

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7. 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.

Specific methods may express other requirement(s) in lieu of the regulatory additionality requirement. If that is the case under the method named under question 3, then this question should be read as asking whether any part of the project does not satisfy that/those other requirement(s).

If the method named under question 3 was made before 13 December 2014 and this application is made before 1 July 2015, the project may still be eligible if it is required to be carried out by or under a law. If either or both those conditions do not apply, the project will not be eligible to be registered if it is required to be carried out by or under a law or, if the method has expressed any other requirement(s) to apply in lieu of the regulatory additionality requirement, the project does not satisfy that/those other requirement(s).

Tick the appropriate response

No

Yes

8. What start date do you want to nominate for the project? (optional)

If you do not nominate a start date, the date the project is registered will be the project start date for Emissions Reduction Fund purposes.

This will be the date on which the project’s crediting period will start.

Please provide the nominated start date

Date Y Y Y Y M M D D

9. If you have specified above an earlier date on which the project’s crediting period starts, has the project conformed to the chosen method from the date specified in the question above? (if applicable)

For the purposes of the Emissions Reduction Fund, projects cannot be declared eligible earlier than 01/07/2010. Note that if the crediting period of the project is backdated, you will need to demonstrate that the project has been carried out in line with the chosen method from that date.

Backdating of the start of the crediting period for the project is only available if the method named under question 3 was made before 13 December 2014 and this application is made before 1 July 2015.

Tick the appropriate response

Yes

No The project must be carried out in line with the chosen method from the date specified in the question above.

10. What is the forward abatement estimate for the project? (required)

Please provide the total crediting period forward abatement estimate rounded up to the nearest 50 000 tonnes

Please refer to Forward abatement estimates guidance available on the Clean Energy Regulator website.

Please provide forward abatement estimate

Tonnes CO2-e

Estimated abatement – Total crediting period

Estimated abatement – Annual average

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11. What is the estimate of the peak period of the project or abatement period? (optional)

Information or profiles provided will be considered when determining the timing of the project’s scheduled audits. Please express the peak in either date format MM/YY or a project period of year 1, year 2 etc.

If you wish to provide abatement profile please provide as an attachment to this form.

Peak period

12. Does the project require any regulatory approvals? (required)

The Clean Energy Regulator must be satisfied that the project and each element of it has met all relevant Commonwealth, State and Territory and local government approvals, permits and licence requirements relating to land use or development, environment and water.

The Clean Energy Regulator may request further information or a copy of the approval.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate response

No Explain why the project does not require regulatory approvals below. Then go to Part C.

Yes

For each regulatory approval required by the project, provide a description of the nature of the approval, the aspects of the project to which it relates, the name of the regulatory authority responsible for issuing it, has the approval been issued and, where relevant, the date the approval was issued and the reference number or other identifier for the approval.

13. Have all relevant regulatory approvals been obtained for the project? (if applicable)

If the relevant regulatory approvals to carry out the project or any element of it have yet to be obtained, the Clean Energy Regulator can issue a declaration subject to the condition that all regulatory approvals must be obtained for the project before the end of the first reporting period for the project. Once the necessary approvals have been obtained, the participant can apply to the Clean Energy Regulator to vary the declaration to remove the condition.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate response

Yes

No

Specify each regulatory approval that is outstanding for the project and what action has been taken, or will be taken, by the participant/multiple project participants to obtain it? Provide details below.

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14. In relation to any participant named in Part A of this form that is an individual, has an event specified in rules 61 or 62 of the Carbon Credits (Carbon Farming Initiative) Legislative Rule 2015 (the Legislative Rule) occurred, in respect of any such participant, since the time that a Client Information form was submitted to the Clean Energy Regulator in relation to that participant? (if applicable)

If no participant named in Part A of this form is an individual, go to question 15.

Please note, the type, severity and frequency of any conviction will be considered. A conviction may not disqualify an applicant.

Failure to disclose relevant convictions may adversely impact the assessment of an application.

If you have submitted a Client Information form at the same time as this application tick N/A.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate box

Yes

Specify each event that has occurred since the time that a Client Information form was submitted to the Clean Energy Regulator in relation to any participant named in Part A of this form that is an individual. Provide details below.

Go to question 17.

No Go to question 18.

N/A Go to Part C.

15. In relation to any participant named in Part A of this form that is a body corporate, has an event specified in rules 61 or 63 of the Legislative Rule occurred in respect of any such participant since the time that a Client Information form was submitted to the Clean Energy Regulator in relation to that participant? (if applicable)

Please note, the type, severity and frequency of any conviction will be considered. A conviction may not disqualify an applicant.

Failure to disclose relevant convictions may adversely impact the assessment of an application.

If you have submitted a Client Information form at the same time as this application tick N/A.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate box

Yes

Specify each event that has occurred since the time that a Client Information form was submitted to the Clean Energy Regulator in relation to any participant named in Part A of this form that is a body corporate. Provide details below.

No

N/A Go to Part C.

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16. In relation to any participant named in Part A of this form that is a body corporate, has an event specified in rules 61 or 64 occurred in respect of any executive officer of such body corporate since the time that a Client Information form was submitted to the Clean Energy Regulator in relation to that participant? (if applicable)

Please note, the type, severity and frequency of any conviction will be considered. A conviction may not disqualify an applicant.

Failure to disclose relevant convictions may adversely impact the assessment of an application.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Executive officer of a body corporate means:

a. a director of the body corporate;

b. the chief executive officer (however described) of the body corporate;

c. the chief financial officer (however described) of the body corporate; or

d. the secretary of the body corporate.

Tick the appropriate box

Yes

Specify each event that has occurred since the time that a Client Information form was submitted to the Clean Energy Regulator in relation to an executive officer of any participant named in Part A of this form that is a body corporate. Provide details below.

No Go to question 18.

17. If any Commonwealth, State or Territory regulatory body recommended any actions to be taken by any participant named in Part A of this form as a result of any event disclosed in questions 14 to 16, have those recommended actions been taken? (required)

Not agreeing to a recommended action may not disqualify an applicant. Details provided will be considered along with the type, severity and frequency of any conviction.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate box

No

Specify each recommended action that has not been agreed or taken and provide reasons as to why this is the case. Provide details below.

Yes

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18. During the 3 year period before the making of this application, was any participant named in Part A of this form, or where such participant is a body corporate, any executive officer of any such body corporate, engaged in conduct that, under a Commonwealth, State or Territory law relating to the environment or to work health and safety, was the subject of an enforceable undertaking, an infringement or penalty notice or criminal proceedings that have not been finally determined? (required)

Failure to disclose relevant information may adversely impact the assessment of an application.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate box

Yes

Specify each enforceable undertaking, infringement or penalty notice or criminal proceeding that has not been fully determined. Provide details below.

No Go to question 20.

19. Have remedial actions been taken to ensure, to all reasonable extents, the conduct that led to the enforceable undertaking, infringement or penalty notice or criminal proceeding(s) disclosed in question 18 does not occur again?

Not having taken remedial action(s) may not disqualify an applicant. Details provided will be considered along with the type, severity and frequency of any enforceable undertaking, infringement or penalty notice or criminal proceeding(s).

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate box

No

Specify for each enforceable undertaking, infringement or penalty notice or criminal proceeding that has not been fully determined why no remedial action has been taken. Provide details below.

Yes

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20. Has any participant named in Part A of this form ever been refused registration in a renewable energy, or energy efficiency, scheme operating under a law mentioned in subsection 21(2) of the Legislative Rule; or had their registration in such a scheme cancelled; or been suspended from participating in such scheme?

Relevant laws referred to in subsection 21(2) of the Legislative Rule are:

o Renewable Energy (Electricity) Act 2000, Electricity Supply Act 1995 (NSW), Victorian Energy Efficiency Target Act 2007 (Vic.), Electricity (General) Regulations 2012 (SA), Gas Regulations 2012 (SA), and Energy Efficiency (Cost of Living) Improvement Act 2012 (ACT)

Having been refused registration in a scheme operating under one of these laws may not disqualify an applicant. Details provided will be considered along with the reason for being refused registration, having had a registration cancelled or having been suspended.

Failure to disclose relevant information may adversely impact the assessment of an application.

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate box

Yes Specify each registration that has been refused, cancelled or suspended. Provide details below.

No Go to Part C.

21. Has each participant in respect of which question 20 was answered in the affirmative, subsequently been able to achieve registration in the renewable energy, or energy efficiency, scheme in respect of which question 20 was answered in the affirmative; or had the cancellation of their registration reversed; or had their suspension from participating in the scheme detailed above lifted?

If insufficient space, attach a separate sheet with the details. Clearly identify the nature of any additional documentation or information that you are supplying to support your answer to this question.

Tick the appropriate box

No

Specify each registration that has not been achieved, or has remained cancelled or suspended. Provide details below.

Yes

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Part C: Declaration Section 1 of this part must be signed by the participant/nominee for the project making this application or, on their behalf, by a person duly authorised to bind them.

Under the Criminal Code it is an offence for a person to give information or documentation to a Commonwealth entity if the person providing the information or documentation knows that the information or documentation is false or misleading.

Note that if after the project has been registered the Clean Energy Regulator finds that it was given false or misleading information by a person in connection with the project, the Clean Energy Regulator may revoke the registration of the project and where Australian carbon credit units have already been issued the person for the project, the person may be required to relinquish those units.

1. Participant’s/nominee’s declaration (required)

Complete and sign the declaration

By signing section 1 of this part of the form, the signatory declares that they have legal capacity and authority to bind the participant/nominee for the project on whose behalf the signatory has signed this declaration, in respect of matters contained in this application, and declares and acknowledges, for and on behalf of that participant/nominee, that:

• all information provided in, or in relation to, this application (including attachments and any other supporting information) is, having made all reasonable enquiries, complete, true and correct and not misleading by inclusion or omission and meets the requirement of Division 1 of Part 3 of the rule.

• the participant/nominee understands and accepts the responsibilities of operating an eligible Emissions Reduction Fund project under the CFI Act (participants are strongly encouraged to read the CFI legislation and other guidance materials available at www.cleanenergyregulator.gov.au).

• the participant/nominee authorises the Clean Energy Regulator to copy, record, use or disclose any of the information provided in relation to this application for the purpose of assessing and making a decision on the application, auditing compliance, enforcement of laws, regulations and legislative rule, the performance of the Clean Energy Regulator’s statutory functions and for related purposes subject to the requirements of relevant laws, in particular the Privacy Act 1988 and Part 3 of the Clean Energy Regulator Act 2011.

• the personal information provided in this application may also be copied, recorded, used or disclosed by the Clean Energy Regulator for its administrative purposes, for example, to pre-populate other Clean Energy Regulator forms which the applicant wishes to fill out online in the future, and for improving the Clean Energy Regulator’s service delivery to the participant/nominee.

• the participant/nominee consents to the Clean Energy Regulator sharing any information in relation to them or their projects with any Commonwealth, State or Territory government agencies for the purpose of assisting those agencies in the performance of their functions or powers relating to environmental protection and/or health and safety.

• the participant/nominee has the legal right to carry out the project and, if required, has obtained the written consent of the relevant eligible interest holders to the making of this application or, as the case may be, will obtain the written consent of the relevant eligible interest holders to the existence of the declaration for the project, if the declaration is issued.

• the participant/nominee authorises the Clean Energy Regulator to seek advice from the relevant authority(ies) about whether any regulatory approvals pertaining to the project or any element of it have been issued.

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Please select if applicable Declaration

the participant/nominee understands that the permanence period of the project has the duration stated and that the permanence obligations under the Emissions Reduction Fund in relation to the project will last for that period, if not terminated earlier under the provisions of the Carbon Credits (Carbon Farming Initiative) Act 2011.

the participant/nominee understands that a carbon maintenance obligation may be placed over a project area or project areas during the term of the permanence period of the project.

Signed by or for and on behalf of:

Participant/ nominee name

By:

Signatory name

Signature

Signature date Y Y Y Y M M D D

If nominating an agent, the agent must sign below

2. Nomination of agent to act on participant’s/nominee’s behalf for all interactions relating to this project (required)

Complete and sign the declaration below.

By signing section 2 of this part of the form, the signatory hereby agrees to the appointment of the agent named below as an agent to act on the participant’s/nominee’s behalf with respect to the Clean Energy Regulator for all matters related to the project.

Signed by or for and on behalf of:

Agent name

By:

Signatory name

Signature

Position

Phone number (Please provide if the

agent is not the signatory)

Email address (Please provide if the

agent is not the signatory)

Signature date Y Y Y Y M M D D

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If nominating a nominee for the project, all multiple project participants, including the nominee, must sign below

3. Nomination of nominee of multiple project participants for the project. (required)

Complete and sign the declaration below.

By signing section 3 of this part of the form, each multiple project participant hereby agrees to the nomination of the multiple project participant specified in this form as their nominee for the project.

Nominee’s signature:

Signed by or for and on behalf of:

Nominee name

By:

Signatory name

Signature

Position

Phone number (Please provide if the

agent is not the signatory)

Email address (Please provide if the

agent is not the signatory)

Signature date Y Y Y Y M M D D

Other multiple project participant’s signature:

Signed by or for and on behalf of:

Other multiple project participant

name

By:

Signatory name

Signature

Position

Phone number (Please provide if the

agent is not the signatory)

Email address (Please provide if the

agent is not the signatory)

Signature date Y Y Y Y M M D D

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Other multiple project participant’s signature:

Signed by or for and on behalf of:

Other multiple project participant

name

By:

Signatory name

Signature

Position

Phone number (Please provide if the

agent is not the signatory)

Email address (Please provide if the

agent is not the signatory)

Signature date Y Y Y Y M M D D

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Application checklist Have you completed the following? Tick the box when you've completed the task beside it.

Tick Task Number attached

Completed all required fields. N/A

Attached all necessary documents and supporting evidence, where applicable.

Completed and signed the declaration(s). N/A

Where a signatory is signing on behalf of a participant/multiple project participant/nominee/agent, attached evidence of the authority of the signatory to sign the declaration on behalf of the participant/multiple project participant/nominee/agent.

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Additional information

About the Emissions Reduction Fund

The Emissions Reduction Fund is a voluntary carbon offsets scheme that provides new economic opportunities for a wide range of participants who take steps to reduce carbon pollution or increase carbon storage on the land. Emissions Reduction Fund eligible offsets projects generate Australian carbon credit units that can be sold to other individuals and businesses wanting to offset their own greenhouse gas emissions.

Backdating and crediting periods

In circumstances where a project is underway, participants making an Emissions Reduction Fund transitional application can request that eligibility be backdated. Projects cannot be backdated to before 1 July 2010. If you do not nominate a start date, the date the project declaration is made will be the project start date for Emissions Reduction Fund purposes.

Projects can only be backdated if the application for the methodology was submitted to the Domestic Offsets Integrity Committee before 1 July 2012 and was finalised as a methodology determination under legislation by 30 June 2013.

For a project declaration to be backdated, the Clean Energy Regulator must be satisfied that the proposed project conforms to the applicable method in the period between 1 July 2010 (or other proposed start date) and the date that the declaration is made. If the Clean Energy Regulator is not satisfied that this is the case, the declaration could still be made.

If the project is assessed as eligible, the project declaration will set out the date from which the crediting period begins. The crediting period is the timeframe during which a participant can apply for Australian carbon credit units for the project. Credits are calculated according to the rules set out in the chosen method, and for sequestration projects, the reserve buffer in place at the time the project was declared eligible.

Before claiming credits, the participant must submit an offsets report for the project for the reporting period in accordance with the requirements of the CFI legislation.

Seeking legal advice

The Clean Energy Regulator provides guidance for general information purposes only. The information in this form and supplied by the Clean Energy Regulator should not be interpreted as independent professional advice. You should not rely solely on this information and should get professional legal advice relevant to your individual circumstances.

Protection of information

The Clean Energy Regulator is bound by the secrecy provisions of Part 3 of the Clean Energy Regulator Act 2011 (Clean Energy Act) for the information it collects in relation to this application and also by the Privacy Act 1988 in regard to personal information it collects.

Privacy statement

'Personal information' is defined in the Privacy Act 1988 to mean information or an opinion about an identified individual, or an individual who is reasonably identifiable:

(a) whether the information or opinion is true or not; and

(b) whether the information or opinion is recorded in a material form or not.

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The collection of personal information relating to this application is authorised by the Australian National Registry of Emissions Units Act 2011, the Australian National Registry of Emissions Units Regulations 2011, the Carbon Credits (Carbon Farming Initiative) Act 2011, the Carbon Credits (Carbon Farming Initiative) Regulations 2011 and any legislative rules made under the Carbon Credits (Carbon Farming Initiative) Act 2011.

Personal information collected in relation to this application will be used for the purposes of assessing the application, auditing compliance, enforcement of relevant laws, regulations and legislative rule, the performance of our statutory functions and for related purposes. We will also use the personal information which you provide for our administrative purposes, for example, to pre-populate other Clean Energy Regulator forms which you wish to fill out online in the future, and for improving our service delivery to you.

The Clean Energy Regulator’s Privacy Policy contains information about the agency’s procedures for handling personal information including how a person can access their personal information held by the agency, and how to seek correction of such information. The Privacy Policy also contains information about how to complain about a breach of the Australian Privacy Principles. The Clean Energy Regulator’s Privacy Policy can be found at www.cleanenergyregulator.gov.au.

Disclosure of information

The Clean Energy Regulator and authorised staff are only able to disclose information relating to the affairs of a person (including personal information) collected in relation to this application in accordance with the Clean Energy Regulator Act 2011 or as otherwise required by law.

Part 3 of the Clean Energy Regulator Act 2011 prevents disclosure of relevant information except in circumstances set out in that Part. Those circumstances include:

• disclosure for the purposes of a climate change law

• disclosure to the Minister

• disclosure of summaries or statistics if those summaries or statistics are not likely to enable the identification of a person

• disclosure to certain bodies where the Chair of the Clean Energy Regulator is satisfied that disclosure will assist those bodies in the performance of their functions or powers, including the Australian Securities and Investment Commission, and the Australian Competition and Consumer Commission, and

• disclosure for the purposes of enforcement of the criminal law, enforcement of a law imposing a pecuniary penalty or for protection of the public revenue, if the Chair of the Clean Energy Regulator is satisfied that disclosure is reasonably necessary for such purpose.

Accessibility disclaimer

The Clean Energy Regulator has worked to ensure that this document is accessible but please contact us to obtain an alternative version if you are having difficulty or you have specific accessibility needs. Please call 1300 553 542 or email the name of the form and your needs to [email protected].