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Application Form
Name of Organization/Individual being nominated for this award:
Nature of business/activities:
Location of business in relation to the nominated project, measure or program (Address, City, Country):
Name & Title of contact for this application:
Address
City, Country
Office Phone
Mobile Phone
Email
Website of business
Title of Entry: (please give your entry an appropriate title representing its objective)
Project, Measure or Program Date of Execution: (please specify date when execution commenced)
Award Category:
(please select only ONE
category representing your
entry)
Description of Project, Measure or Program Max 500 words: (As an executive summary, please describe the objective, targets, process, deliverables and
measurable results. Detailed description can be included in the supporting attachments).
Submission Details:
Entries shall exhibit proven processes and results in energy and resource management to drive the following values which represent the evaluation
criteria:
A.
B.
C.
D.
EEA : Entry Guidelines & Application Form / September 23 2014/ VISIT www.emiratesenergyaward.com FOR MORE INFORMATION
(IRR).
A. Creativity & Innovation - in terms of demonstrated systems and processes influencing energy technologies and opportunities with potential for further
development and transferability to others.
B. Energy Efficiency - representing reduction of specific energy consumption through general house-keeping measures, best practices, retrofitting
inefficient equipment and new projects in the usage of electrical as well as thermal energy.
C. Increase of Renewable Energy share in energy source portfolio - use of renewable energy such as solar, wind, biomass, biogas and other cleaner
energy sources and gradual reduction of dependence on non-renewable energy sources.
EEA : Entry Guidelines & Application Form / September 23 2014/ VISIT www.emiratesenergyaward.com FOR MORE INFORMATION
D. Economical, Social & Environmental Impact - potential to delivering significant benefits including improvements in quality of life, cutting greenhouse
gas emissions and supporting sustainable energy, in addition, to building knowledge capacity and corporate social responsibility.
I/ We hereby declare that the information provided on this application form and in the attachments thereto is full and correct. I/ We declare my/ our acceptance of the terms and
conditions of participation for the Emirates Energy Award.
Signature of the applicant's highest-ranking official
On Behalf of Applicant/Organization
_______________________________________
EEA : Entry Guidelines & Application Form / September 23 2014/ VISIT www.emiratesenergyaward.com FOR MORE INFORMATION