application form - E2 Singapore

APPLICATION

TO JOIN THE

ENERGY EFFICIENCY NA
TIONAL PARTNERSHIP


Date:

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To:

Director



Energy Efficiency and Conservation Department



National
Environment Agency



Email:
NEA_EENP_SECRETARIAT@nea.gov.sg


Attn:
EENP Secretariat


Our company
,
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name of company
,

is interested in becoming a
Partner of the Energy Efficiency National Partnership
.


A
s a Partner of the Energy
Efficiency National Partnership
, we commit to continuous
ly

improv
ing our energy performance. We will:


1)

W
ork towards adopting in
-
house energy management systems. This will involve


a)

A
ppointing

an energy manager;


b)

D
eveloping

an

energy polic
y;

c)

E
stablishing
energy targets
;

and

d)

I
mplementing energy efficiency improvement plans
.


2)

P
articipate in EENP Learning E
vents and


3)

S
hare our energy efficiency success stories.


Details of our current energy management practices are provided in the Annex.


Our designated c
ontact persons are indicated below. Please liaise with them to formalise
our partnership.


Main Contact Person

Alternative

Contact Person

Name:

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Designation:

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to enter text.

Email:

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DID:

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Yours faithfully,



_______________________

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name
.

For and on behalf of

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enter name of company.





Annex
: Company’s

Information


Company’s

Primary Business or Function (please tick one):


BIOMEDICAL SCIENCES


CONSUMER BUSINESSES


Medical Technology


Food manufacturing


Pharmaceuticals & Biotechnology


Garment manufacturing






ELECTRONICS


ENERGY & CHEMICALS


Electronics Components


Petrochemical


Semiconductors


Refineries




Power Generation


INFOCOMMS & MEDIA


Chemicals


Consumer & Electronics Systems




Telco Services


TRANSPORT ENGINEERING


IT Services


Aerospace




Marine, Land, O
il & Gas


LOGISTICS




PRECISION ENGINEERING



Others:

<Please specify>



HEALTH & WELLNESS







Is your company considered a small and medium
-
sized enterprise
(
i.e. a
business

with
annual sales turnover of not more than $100 million or employing no more than 200 s
taff)?


Yes


No




Information on my company’s energy management:

1.


Does your company have an
energy policy

or an energy
improvement target
? If
so
,

please

sha
re your company’s energy policy

and/or energy improvement target
.

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2

Does your company have an energy manager or a team looking into improving energy
performance within the company?

If so, p
lease elaborate

on how this is carried out
.

If
not, please share your company’s upcoming plans in this area, if any.

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3

Has your company undertaken any projects to improve on energy efficiency?

If
so
,
please share
an

example of such projects.

If not, please share your company’s
upcoming plans in this area, if any.


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4

Does your company monitor
its
energy usage?

If so, please elaborate on the extent of
monitoring.

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text.



5

What is your compan
y’s average energy usage (in GWh

per year
)?


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*

Please rest assured that the information provided will be kept confidential.