NCDMA – PCN PCN Version 01.05.2009 The National CDM Authority PCN Format Note: Fields marked with (*) are mandatory to be filled in by the Project Proponent. The request is liable to be rejected in case of incomplete applications. Project Proponents are requested to attach all project clearances/ inputs especially for S.No. 25 & 26 of PCN. The technology should match with the CDM Glossary as available on UNFCCC website. Sl.No Label Name 1* Title of the Project Activity Give Inputs 2* Location of the Project Give Inputs ( Village / District/State Including Longitude and Latitude ) 3* Whether the Project is part of any Programme of Activity (PoA). Give Inputs IF YES , then give details of a. Name of PoA b. Identification Number. 4* Attach the copy of : Certificate of Incorporation Or Certificate of Registration by Indian Authorities. Attach relevant document in pdf format only. Share holding pattern of the company / Entity. Foreign Companies registered in India, should also provide Unique identification number given by RBI 5* Name of Project Proponent ( Company / Entity) Company Name as registered. 6* Name of the Contact Person Designated contact person of the Company 7* Address Complete Mailing address, Telephone, fax No of the Company and contact person. 8* E- Mail Id e-mail address of the contact person of the Company. 9* Specify if Project is being executed by Central/State/Local Government Select appropriate radio button. 1 NCDMA – PCN PCN Version 01.05.2009 10* Project Large / Small scale Select appropriate radio button. 11* Project Sectoral Scope Select from Dropdown menu. 12* Approved Baseline Methodology Select appropriate radio button and please refer to the UNFCCC CDM website for the title and the number of the approved baseline and Monitoring methodologies. 13* Whether Project is bundled Select appropriate radio button and attach details. 14 Name of project participants & CER sharing arrangements amongst them. Give inputs 15* Undertaking that PCN & PDD submitted to UNFCCC through DoE is identical/ same as submitted to NCDMA. Select appropriate radio button and attach details. 16* Project description Brief Summary and Technical description of the project activity. 17* Technology to be employed. 18* Transfer of Technology. Brief description of Technology and how it reduces emission from business as usual (BAU). Select appropriate radio button and give detail. 19* Project start date Select from calendar. 20 Project completion date Select from calendar. 21 Project Life time Give inputs. 22* Project Land Title in name of project proponent. Select appropriate radio button and attach details. 23 Select appropriate radio button Whether the project meets the definition of forest mentioned by NCDMA to UNFCCC for CDM project 24 Status of Resource inputs 25* Status of Project Clearances 26* Biomass surplus availability assessment report (certified by credible agency) Select appropriate radio button and attach details. 27* Credible Monitorable action plan for Large scale CDM projects earmarking 2% of annual CER Give details. Furnish details of capital investment and other essential resources tie up such as fuel etc. Select appropriate option and attach details. 2 NCDMA – PCN PCN Version 01.05.2009 revenue for sustainable development activities. (To be also included in the PDD) 28 CDM evidence trail Select appropriate radio button and attach details. 29* Total cost of the Project In Indian Rs. (cr) Give inputs 30 Transaction Cost ( INR – Lakhs) 31 Whether any ODA is flowing to the Project Give pre registration and post registration transaction cost. Select appropriate radio button. 32 Subsidy element if any in the project Amount & source Give inputs 33 EIRR of Project Activity with CDM benefit Give inputs 34 EIRR of Project Activity without CDM benefit Give input and attach details. 35 Financing details of the Project Give input 36 Financial Closure Details Give input 37 Total CDM contribution sought (INR – Cr) 38 CDM contribution expected upfront (INR – Cr) 39 Cost of CER to the Company (INR) The CDM contribution sought is estimated on the basis of difference between the project returns and the benchmark returns (either through Weighted Average Cost of Capital (WACC) or through other market based benchmarks) as the case may be. If you have received any upfront payment for this CDM project through carbon finance route or forward transaction of emission reduction from this project is carried out, please furnish details else state “no forward transaction or upfront funding received”. The CER cost is estimated on the basis of (A) The difference between expected returns (i.e benchmark) and project returns during the crediting period. (B) Third party expenditure required during the project development, registration and issuances of CER. The sum of the above two is 3 NCDMA – PCN PCN Version 01.05.2009 40 IRR without CER Revenue divided by expected number of emission reductions to achieve this estimation. Give input 41 DSCR without CER Revenue Give input 42 IRR with CER Revenue Give input 43 DSCR with CER Revenue Give input 44 Indicative CER price Give input 45 Whether Project appraised by any Financial Institution Select appropriate radio button 46* Crediting period 10 years Or 21 years. Select appropriate radio button 47 Expected date of first CER delivery & CER (Revenue) flow year wise Give inputs. 48* Estimate of GHG abatement in tCO2 eq. (Year wise) 49* Estimate of CER per annum Give inputs. Estimate of CER upto 2012 Give inputs. Estimate of CER upto 2020 Give inputs. Sustainable Development Criteria A* Social Wellbeing Give inputs. B* Economic wellbeing Give inputs. C* Environmental wellbeing Give inputs. D* Technological wellbeing Give inputs. 50* Local stake holders consultation carried out (Give details) Select appropriate radio button and give details. Identify stakeholders that have made comments and provide a summary of these comments. 51* Specific global & local environmental benefits Give inputs. 52* Environment Management Programme Give inputs. 53* Project risks (Economic, Legal, Political, Social & Environmental) Give inputs. 54* Project promoter credentials (No. of CDM Projects promoted in the past & their status) Give inputs. 55* Name of Consultant Give inputs. 4 NCDMA – PCN PCN Version 01.05.2009 56* Contact Details of the Consultant. 57 Name & Address of buyer of CER's (if contracted) Complete Mailing address, Telephone No, Fax No of the Consultant. Give inputs. 58 Name of DoE if appointed Give inputs. 59 Any other attachment Give inputs and attach details. 60* PDD Please download the current PDD format from http://cdm.unfccc.int/Referen ce/PDDs_Forms/PDDs/PDD_fo rm04_v03_2.doc and upload the filled document in pdf format. List Of Clearances 1. PCB – Pollution Control Board 2. EC – Environmental Clearance 3. State Nodal Agency 4. Fisheries Clearance 5. Flood Control 6. Building Clearance 7. Explosives & Safety 8. Stack Height 9. Airport Authority 10. Boiler Inspection Report 11. Any other attachments List of Sectoral Scope 1. Energy industries ( renewable - / Non – renewable sources) 2. Energy Distribution 3. Energy Demand 4. Manufacturing Industries 5. Chemical Industries 6. Construction Industries 7. Transport 5 NCDMA – PCN PCN Version 01.05.2009 8. Mining / Mineral Production 9. Metal Production 10. Fugitive emissions from fuels.( Solid, Oil and gas) 11. Fugitive emissions from production and consumption of halocarbons and sulphur hexafluoride 12. Solvent use 13. Waste handling and disposal 14. Afforestation and Reforestation 15. Agriculture. 6
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