Please note that registration with NTCRE is not an authorisation to practice as a RETs Supplier



Similar documents
FLORIDA REGISTERED PARALEGAL APPLICATION CHAPTER 20, RULES REGULATING THE FLORIDA BAR

PART B - BROKER INFORMATION

Workers' Compensation Law Section Application for Certification as a Specialist

Applicants will be notified within 15 working days of receipt of a completed application as to the status of the application.

APPLICATION FOR ADDICTION COUNSELOR TRAINEE RECOGNITION OR ADDICTION COUNSELOR TRAINEE RENEWAL

Pharmacy Technician (this application applies only if you are an employee of a Maine pharmacy)

State of Nebraska Department of Insurance 941 O Street, Suite 400 Lincoln, NE 68508

MASSAGE THERAPIST LICENSE APPLICATION

TECHNICIAN-IN-TRAING IS NOT PERMITTED TO PRACTICE IN MONTANA IN ANY MANNER WITHOUT AN ACTIVE MONTANA REGISTRATION

Form 2501 General Information (Application for Registration as an Athlete Agent)

LIBERTY DENTAL PLAN Provider Credentialing Application

Appendix B: Certified Technology Specialist Design (CTS-D) - Exam Application

BRITISH SCHOOL OF COMMERCE, COLOMBO

ARKANSAS BOARD OF PODIATRIC MEDICINE

International Certified Co-Occurring Disorders Professional Diplomate (I.C.C.D.P.D) APPLICATION CHECKLIST

Los Angeles County Department of Mental Health Credentialing Application for Prescribing Practitioners Delivering Services to DCFS Children

North Carolina Delta Dental s Recredentialing Application

Licensure as a Pharmacy Technician

MINNESOTA CERTIFIED PARALEGAL APPLICATION I. PERSONAL INFORMATION. Name: Former Name(s): Date of Birth: Mailing Address: City/State/Zip:

Fit and proper person form

ARRT Rules and Regulations

MONTANA BOARD OF PUBLIC ACCOUNTANTS

The following terms used in Subchapter 6 of these rules shall have (unless the

OKLAHOMA ACCOUNTANCY BOARD ( OAB ) QUALIFICATION APPLICATION AND INSTRUCTIONS

Fort Vermilion School Division No. 52

Community Health Group Allied Health Professional Application

Rehab Net of Arkansas. Provider Application

Renewal of registration Building surveying contractor (individual) Form 63

State of Oregon - Board of Licensed Social Workers 3218 Pringle Rd. SE, Ste. 240, Salem, OR (503) Oregon.BLSW@state.or.

Lafayette Regional Association of REALTORS, Inc.

Maryland Insurance Administration

St. Mary s University School of Law Application for Admission San Antonio, Texas

The American Society of Diagnostic and Interventional Nephrology

Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist

APPLICATION FOR NATIONAL EXAMINATION IN MARITAL & FAMILY THERAPY

Walnut Creek Police Department 1666 N. Main St. Walnut Creek, CA Ph: (925) Fax: (925)

APPLICATION FOR LICENSURE AS AN INSTALLMENT SELLER

Application for Registration or Renewal of Athlete Agent

For any questions contact: City Clerk Michelle Tesser Tel: Fax:

State of Maine STATE BOARD OF VETERINARY MEDICINE

RULE. Office of the Governor Real Estate Appraisers Board. Appraisal Management Companies (LAC 46:LXVII.Chapters )

STATE OF FLORIDA OFFICE OF FINANCIAL REGULATION

FULL NAME: Last First Middle. OTHER NAME (S): Please provide other names used in school or employment

Please Note: Please send all documentation related to the credentialing portion of this documentation to:

Green Energy Program Participating Contractor Application Form

How to Use the Continuing Certification Requirements (CCR) Handbook... 3 CCR Program Overview... 4 CCR Requirements... 4 CCR Process...

Business Credit Account Application

Application for Nursing License

PROCEDURES FOR ADMISSION TO THE WESTERN DISTRICT BAR

CONSTRUCTION MANAGER CERTIFICATION INSTITUTE. Renewal Handbook

Nation Motor Club, LLC. 800 Yamato Road, Suite 100, Boca Raton, FL Tel: Fax:

Application for New Louisiana Pharmacy Technician Candidate Registration

City Colleges of Chicago Scholarship Application

Certified Florida Community Service Provider (CFCSP)

NORTH CAROLINA REAL ESTATE COMMISSION P. O. Box Raleigh, North Carolina /

Application for Individual Health & Dental Insurance

GUIDELINES FOR THE ADMINISTRATION OF INSURANCE AGENTS

Credentialing Application:

ACROD Parking Program - Application Form

REGISTRATION FORM (Please print)

APPLICATION FOR THERAPEUTIC MASSAGE THERAPIST LICENSE

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS. BOARD OF ACCOUNTANCY 1511 Pontiac Avenue, #68-1 Cranston, Rhode Island 02920

DENVER COMMUNITY SCHOOL DISTRICT Non-Certified Application for Employment

Restricted Auto Salesperson Application

BECOME. With AIPMM Certification Programs

Athletic Trainer License Application Methods

TEMPLE UNIVERSITY HOSPITAL

Application for Allied Health Professional License

Application for Licensure as a Licensed Alcohol and Drug Counselor (LADC)

Application for Individual Health Insurance

DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH and ADDICTION SERVICES. Independent Peer Review

PART 6 FORM OF STANDARD CUSTOMER ELECTRICITY SALES AGREEMENT A. STANDARD RESIDENTIAL CUSTOMER ELECTRICITY SALES AGREEMENT

MOONLIGHTING INSTRUCTIONS:

PHYSICIAN APPLICATION FOR EMPLOYMENT

HEALTH LICENSING OFFICE Behavior Analysis Regulatory Board

International Certified Co-Occurring Disorders Professional Diplomate (I.C.C.D.P.D) APPLICATION CHECKLIST

North Carolina Department of Insurance. Uniform Application. To Participate as a Health Care Practitioner

APPLICATION FOR BENEFITS LAW ENFORCEMENT OFFICERS AND FIRE FIGHTERS DISABILITY BENEFITS TRUST FUND

Certified Addiction Recovery Coach Application

Initial Credentialing Application: Certified Registered Nurse Anesthetist (CRNA)

PRACTITIONER CREDENTIALING APPLICATION Advanced Practice Nurse Prescriber, Certified Nurse Midwife, Physician Assistant

225 Long Avenue Hillside, NJ Phone: (973) Fax: (973)

Included in the application you submit to the Vermont Certification Board should be the following:

PEDDLER & SOLICITOR LICENSE APPLICATION PACKET

State of Maine BARBERING & COSMETOLOGY LICENSING

Dear Applicant: Criteria for admission to the program includes:

APPLICATION FOR ALLIED PROFESSIONAL STAFF

APPLICATION FOR PERMISSION TO ACQUIRE CONTROL

CREDENTIALING PROFILE

Transcription:

National Technical Committee on Renewable Energy Application for Registration: RETs Supplier [NTCRE] Hosted by REEEI - An Institute of the Polytechnic of Namibia 13 Storch St Tel: +264-61-2072154 P Bag 13388 Fax: +264-61-2072059 Windhoek E-mail: reeei@polytechnic.edu.na Website: www.reeei.org.na Good day, Technical Committee One (TC1) or the National Technical Committee on Renewable Energy (NTCRE) is a technical committee of the Namibian Standards Institution (NSI) which was created by the Standards Act No. 18 of 2005. The main goal of TC1 is to ensure that an environment exists for the growth of the renewable energy industry in Namibia within a framework that protects consumers and the environment by promoting quality of renewable energy products and services. Please follow the procedure provided below to complete your Renewable Energy Technologies (RETs) Supplier registration: Step 1 Business details: This section requires the business details. Step 2 Top Management details: Please provide personal information of MD/COO of the company. Step 3 Letter of Reference: Provide at least 2 References Step 4 - List of Clients Served: Provide details of at least five (5) of your clients that you supplied with products/services in the last 3 years. Step 5 Code of Ethics: The applicant to sign acceding to upholding the professional standards of the Industry. Step 6 Agreement and Attestation: To be signed by the applicant agreeing to the terms and conditions of the National Technical Committee on Renewable Energy (NTRCE) and the suppliers Registration. Step 7 - Check list: Application check list. (Please attach a copy of Good Standing Certificate from the Receiver of Revenue Ministry of Finance) The completed documents can be faxed to the Secretariat/REEEI Coordinator at 061-2072059, or posted to the above address or delivered to Office A4, Auditorium Building, Polytechnic of Namibia, Brahm St, Windhoek. Expect a response from REEEI within 30days of your application. If you have any other question please contact the REEEI Coordinator on 061-2072154. 1

STEP 1: BUSINESS DETAILS 1.1 Business Name: Trading as: Who is the Proprietor of the Business? Registration Number of the Business: (attach a copy of Good Standing Certificate from Receiver of Revenue).. Mailing Address: Date of Incorporation (dd/mm/yy) --- -/ --- - /--- - Address line 2: City: Region: Telephone: Code ( ) Number ( ) or ( ) E-mail: Physical Address: Fax: code ( ) Number ( ) Website: Cell: Does the company have additional branches/offices? Yes No If yes provide details of additional branch/offices below or on additional sheet. Numbers of employees in the company (including in other branches/offices) Management Female. Male. Administration.. Female. Male. Technical.. Female. Male.. Total numbers of employees in the company.. Female.. Male.. What equipment/service does your company deal in: Solar Water Heaters Photovoltaic Solar Home Systems Solar cookers/box Energy efficient stoves Other If other, please specify ---------------------------------------------- 1.2 Does your Company have a Parent Company outside Namibia? Yes No If Yes please provide details below Business Name: Trading as: Registration Number: Date of Incorporation (dd/mm/yy) --- -/ --- - /--- - Mailing Address: Address line 2: City: Region: Telephone: Code ( ) Number ( ) or ( ) E-mail: Physical Address: Fax: code ( ) Number ( ) Website: Cell: 2

STEP 2: DETAILS OF TOP MANAGEMENT 2.1 DETAILS OF THE MANAGING DIRECTOR (MD / CHIEF OPERATING OFFICER (COO) Last Name: First Name: Middle: Suffix: Mr. Mrs. Ms. Mailing Address: Date of Birth (dd/mm/yy) --- -/ --- - /--- -- Gender: Male Female Address line 2: City: Region: Residential Address (if different from mailing address): City: Region: Telephone: Code ( ) Number ( ) or ( ) E-mail: Fax: code ( ) Number ( ) Cell: 2.2 CONTACT PERSON IN RELATION TO THE NTCRE REGISTRATION APART FROM ONE MENTIONED ABOVE. Last Name: First Name: Middle: Suffix: Mr. Mrs. Ms. Mailing Address: Date of Birth (dd/mm/yy) --- -/ --- - /--- -- Gender: Male Female Address line 2: City: Region: Residential Address (if different from mailing address): City: Region: Telephone: Code ( ) Number ( ) or ( ) E-mail: Fax: code ( ) Number ( ) Cell: 3

STEP 3: LETTER OF REFERENCE Two letters of reference should be completed FIRST REFERENCE APPLICANT TO FILL IN Name: Address: City: Region: LETTER OF REFERENCE (REFEREE TO FILL IN) Name: Name of Company/Client Physical Address: City: Telephone: Postal Address: Region: Fax: Email: The above named applicant I have known personally from: I am personally familiar with the professional work of the applicant. Yes No If yes, please state relationship and brief description of character of work. Do you know any reason why candidate should be denied registration? Yes No If yes, please state reason. To the best of my knowledge, I hereby attest that the above information is true and correct. Name of person supplying information (referee): (Please type or print) Official title of Referee: Referee s signature: Date: 4

STEP 3: LETTER OF REFERENCE (cont..) SECOND REFERENCE APPLICANT TO FILL IN Name: Address: City: Region: LETTER OF REFERENCE (REFEREE TO FILL IN) Name: Name of Company: Physical Address: City: Telephone: Postal Address: Region: Fax: Email: The above named applicant I have known personally from: I am personally familiar with the professional work of the applicant. Yes No If yes, please state relationship and brief description of character of work. Do you know any reason why candidate should be denied registration? Yes No If yes, please state reason. To the best of my knowledge, I hereby attest that the above information is true and correct. Name of person supplying information (referee): (Please type or print) Official title of Referee: Referee s signature: Date: 5

STEP 4 LIST OF CLIENTS SERVED Please provide details of at least five (5) of your clients that you supplied with products/services in the last 3 years. NAME OF CLEINT TELEPHONE & FAX PHYSICAL ADDRESS E-MAIL REGION STEP 5 CODE OF ETHICS: The applicant to sign acceding to upholding the professional standards of the renewable energy industry. The Code of Ethics of the RETs Supplier requires applicants to uphold professional standards that allow for the proper and ethical discharge of their responsibilities and maintain the integrity of the NTCRE s registration process. Through this Code of Ethics which is derived from the Code of Practice -and Register of Products for the Namibian Solar Energy Technologies, the TC1/NTCRE seeks to assure the highest standards of behaviour and principles in the renewable energy industry. The Code of Practice - and Register of Products for the Namibian Solar Energy Technologies can be downloaded from the internet site; http://www.mme.gov.na/pdf/undp-reports/code-of-practice-products-for-namibian-sets.pdf. As an applicant, I agree to uphold and abide by and adhere to the TC1/NTCRE Code of Ethics. I will: deal with all clients, consumers, and other professionals and professional organizations fairly and in a timely manner, provide safe and quality services to clients and consumers, respect and promote the rights of clients and consumers by offering only professional services that I am qualified to perform, and by adequately informing clients and consumers about nature of proposed services of the products I supply, including any relevant concerns or risks, maintain the confidentiality and privacy of all client and consumer information, avoid conduct which may cause a conflict with client or others, engage in moral and ethical business practices, including accurate and truthful representations concerning professional information and system performance expectations, be truthful with regard to research sources, findings, and related professional activities, maintain accurate and complete business and professional records, respect the intellectual property and contributions of others, further the professionalism of renewable energy industry services. I fully understand and agree to each and all of the terms set forth above. Signature: Date: / / Printed Name: 6

STEP 6: AGREEMENT AND ATTESTATION Applicant agrees and attests to the terms and conditions of the Technical Committee One/National Technical Committee on Renewable Energy (TC1/NTCRE) and the RETs Suppliers Registration By signing this agreement below, I represent and agree to the following terms and conditions related to the Technical Committee One/National Technical Committee on Renewable Energy (TC1/NTCRE) and the RETs Suppliers Registration: 1. I understand and accept all TC1/NTCRE registration policies, procedures, and requirements. I agree to satisfy, and conduct myself in accordance with, all TC1/NTCRE policies and procedures, and any decisions or policy issue by the TC1/NTCRE or its authorized representatives, as currently constituted and as amended. I agree that if TC1/NTCRE determines that my compliance with a TC1/NTCRE policy, procedure, other requirement, or any of the terms of this agreement requires or includes an explanation, additional information, and/or supporting documents, I will provide a complete and accurate response and true copies of the materials to TC1/NTCRE in a timely manner. I agree that any refusal or failure to provide true, timely, and complete responses to questions in this application, renewal forms, or to other TC1/NTCRE requests for information may lead to further investigation, and/or sanctions by TC1/NTCRE, including the denial or revocation of a registration. I agree that the TC1/NTCRE has the right to communicate with any person, government agency, or organization to review or confirm the information in this registration application or any other information related to my application for RETs Supplier Registration. I agree that TC1/NTCRE may investigate my professional standing. I agree to, and authorize the release of, any information requested by TC1/NTCRE for such review and confirmation. I agree that all materials (documentation) that I submit to TC1/NTCRE will become the property of TC1/NTCRE, and that TC1/NTCRE is not obliged to return any of these materials to me. I agree to notify TC1/NTCRE in a timely manner, of any changes concerning the information I have provided, including address and telephone number information. I agree that information related to my participation in the TC1/NTCRE registration process may be used in an anonymous manner for research purposes, and for other lawful purposes. I agree that upon designation as a registered RETs Supplier by TC1/NTCRE, my professional contact information will be considered public information and may be made available to the public upon request. 2. I understand and accept that, in appropriate circumstances as determined by the TC1/NTCRE and its representatives, TC1/NTCRE reserves the sole and exclusive rights to: suspend, cancel, revoke, or otherwise terminate any eligibility, registration decisions, and any rights or privileges related to the Supplier Registration process 3. I agree that all disputes relating in any way to my RETs Supplier registration application will be resolved solely and exclusively by means of TC1/NTCRE policies, procedures, and rules. 4. I certify that the information I have provided with respect to this application is accurate and complete. I understand that any misrepresentations or incorrect information provided to TC1/NTCRE can result in discipline or sanctions, including registration ineligibility, suspension, or revocation. 5. I release, discharge, and indemnify TC1/NTCRE, its Secretariat, officers, employees, attorneys, representatives, and agents from all liability and claims that may arise out of, or be related to, my professional practice and related activities. 6. I release, discharge, and indemnify TC1/NTCRE, its Secretariat, officers, examiners, employees, attorneys, representatives, and agents from any actions, suits, obligations, damages, claims, or demands arising out of, or in connection with, this application, or any other action taken by the TC1/NTCRE with regard to its registration activities, including, but not limited to, all actions related to ethics policies and matters. I fully understand and agree to each and all of the terms set forth above. Signature: Date: / / Printed Name: 7

STEP 7: CHECK LIST Did you familiarise yourself with the Code of Practice and Registry of Products for the Namibian Solar Energy Technologies; (downloadable from http://www.mme.gov.na/pdf/undp-reports/code-of-practice-products-for-namibiansets.pdf.)? Did you accurately complete the Business Details Section of the Application Form? Did you accurately complete the MD/COO Details Section of the Application Form? Did you attach 2 letters of Reference from your clients? Did you provide details of at least 5 of your clients you served in the past 3 years? Did you put the business NAME at the top of each page of the application? Did you read the Code of Ethics and sign? Did you read the Agreement and attestation and sign? Did you attach a copy of the Good Standing Certificate from the Receiver of Revenue (Ministry of Finance)? Did you make a COPY of the entire application form for your own reference? 8