GSv21PassportTemplate PDD模版Word格式文档下载.docx
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GSv21PassportTemplate PDD模版Word格式文档下载.docx
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SECTIONA.ProjectTitle
[SeeToolkit1.6]
SECTIONB.Projectdescription
Estimatedstartdateofconstruction:
SECTIONC.Proofofprojecteligibility
C.1.ScaleoftheProject
[SeeToolkit1.2.a]
Pleasetickwhereapplicable:
ProjectType
Large
Small
C.2.HostCountry
[SeeToolkit1.2.b]
C.3.ProjectType
[SeeToolkit1.2.candToolkitAnnexC]
Projecttype
Yes
No
DoesyourprojectactivityclassifyasaRenewableEnergyproject?
DoesyourprojectactivityclassifyasanEnd-useEnergyEfficiencyImprovementproject?
Pleasejustifytheeligibilityofyourprojectactivity:
PreAnnouncement
Wasyourprojectpreviouslyannounced?
Explainyourstatementonpreannouncement
C.4.Greenhousegas
[SeeToolkit1.2.d]
GreenhouseGas
Carbondioxide
Methane
Nitrousoxide
C.5.ProjectRegistrationType
[SeeToolkit1.2.f]
ProjectRegistrationType
Regular
Pre-feasibilityassessment
Retroactiveprojects
(T.2.5.1)
Preliminaryevaluation(eg:
LargeHydroorpalmoil-relatedproject)(T.2.5.2)
RejectedbyUNFCCC
(T2.5.3)
IfRetroactive,pleaseindicateStartDateofConstructiondd/mm/yyyy:
_________________
SECTIOND.Uniqueprojectidentification
D.1.GPS-coordinatesofprojectlocation
Coordinates
Latitude
xx°
xx'
xx"
N
Longitude
W
Explaingivencoordinates
D.2.Map
[SeeToolkit1.6]
SECTIONE.Outcomestakeholderconsultationprocess
E.1.Assessmentofstakeholdercomments
[SeeToolkitAnnexJ]
[SeeLocalStakeholderConsultationReportB.5andinserttablefromiiAssessmentofcomments.Insertasummaryofalterationsbasedoncomments]
E.2.StakeholderFeedbackRound
Pleasedescribereporthowthefeedbackroundwasorganised,whattheoutcomeswereandhowyoufolloweduponthefeedback.
[SeeToolkit2.11]
SECTIONF.OutcomeSustainabilityassessment
F.1.‘Donoharm’Assessment
[SeeToolkit2.4.1andToolkitAnnexH]
Safeguardingprinciples
Descriptionofrelevancetomyproject
Assessmentofmyprojectrisksbreachingit(low/medium/high)
Mitigationmeasure
1
2
Etc.
Additionalrelevantcriticalissuesformyprojecttype
Assessmentofrelevancetomyproject
(low/medium/high)
F.2.SustainableDevelopmentmatrix
[SeeToolkit2.4.2andToolkitAnnexI]
InserttableinsectionC3fromyourStakeholderConsultationreport(SustainableDevelopmentmatrix).
Indicator
RelevancetoachievingMDG
Chosenparameterandexplanation
Preliminaryscore
GoldStandardindicatorsofsustainabledevelopment.
Ifrelevantcopymitigationmeasurefrom"
donoharm"
–table,orincludemitigationmeasureusedtoneutraliseascoreof‘–‘
Checkwww.undp.or/mdgandwww.mdgmonitor.org
DescribehowyourindicatorisrelatedtolocalMDGgoals
Definedbyprojectdeveloper
Negativeimpact:
score‘-‘incasenegativeimpactisnotfullymitigated
score0incaseimpactisplannedtobefullymitigated
Nochangeinimpact:
score0
Positiveimpact:
score‘+’
Airquality
Waterqualityandquantity
Soilcondition
Otherpollutants
Biodiversity
Qualityofemployment
Livelihoodofthepoor
Accesstoaffordableandcleanenergyservices
Humanandinstitutionalcapacity
Quantitativeemploymentandincomegeneration
Balanceofpaymentsandinvestment
Technologytransferandtechnologicalself-reliance
Justificationchoices,datasourceandprovisionofreferences
SECTIONG.SustainabilityMonitoringPlan
[SeeToolkit2.4.3andToolkitAnnexI]
CopyTableforeachindicator
Repeatforeachparameter
Chosenparameter
Currentsituationofparameter
Estimationofbaselinesituationofparameter
Futuretargetforparameter
Wayofmonitoring
How
When
Bywho
Additionalremarksmonitoring
SECTIONH.Additionalityandconservativeness
Thissectionisonlyapplicableifthesectiononadditionalityand/oryourchoiceofbaselinedoesnotfollowGoldStandardguidance
H.1.Additionality
[SeeToolkit2.3]
H.2.Conservativeness
[SeeToolkit2.2]
ANNEX1ODAdeclaration
[SeeToolkitAnnexD]
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