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["field",null,"number","value","remark"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["表格四"]
[]
["清潔生產伙伴計劃"]
[]
["申請登記成為環境技術服務供應商"]
[]
["*請參閱申請人須知*2"]
["第 I 部份"]
["申請人資料"]
["1)","公司名稱","中文"]
[null,null,"英文"]
["2)","通訊地址*4","大廈"]
[null,null,"街道"]
[null,null,"地區"]
[null,null,"城市*4A","請選擇"]
[null,null,"郵遞區號"]
["3)","聯絡人 (1)*5、6 (先生/女士)","請選擇"]
["4)","聯絡人 (1) 職位 "]
["5)","聯絡人 (1) 電話 (+852/+86)","請選擇"]
["6)","聯絡人 (1) 電郵"]
["7)","聯絡人 (2) *6(先生/女士)","請選擇"]
["8)","聯絡人 (2) 職位 "]
["9)","聯絡人 (2) 電話 (+852/+86)","請選擇"]
["10)","聯絡人 (2) 電郵"]
["11)","商業登記號碼*8\n(位於香港的環境服務供應商，只需提供首8位數字)",null,"\n\n\n"]
["12)","僱員人數","廣東省",null,"人"]
[null,null,"香港",null,"人"]
[null,null,"其他",null,"人"]
[]
["第II部份"]
["登記類別（可註冊一個或兩個類別）"]
["環境技術服務供應商類別"]
["第一類別：顧問\n（以進行實地評估，或為示範項目擔任顧問）\n（請在貴公司的專業範圍方格選擇「是」）",null,"能源管理","請選擇"]
[null,null,"排污控制","請選擇"]
[null,null,"資源節約","請選擇"]
["第二類別：工程公司\n（以執行示範項目）\n（請在貴公司的專業範圍方格選擇「是」）",null,"能源管理","請選擇"]
[null,null,"排污控制","請選擇"]
[null,null,"資源節約","請選擇"]
[]
["第III部份:申請所需文件"]
[]
["請在右側欄中提供所需文件的檔案名稱，並附上所需文件:"]
[]
["1)","一般"]
[]
["a)  \n","香港的申請人，請提交根據香港《商業登記條例》（第310章）下商業登記證副本*9。至於其他國家/香港以外地區的申請人，請提交由其國家/地區執法機關所簽發的有效商業登記文件副本*8"]
[]
["b)","已簽署及蓋上公司印章的申請表的掃描本。"]
[]
[]
["2)","根據第一類別登記成為顧問"]
[]
["a)","至少有三名員工，而每名員工必須具備兩年或以上負責工業能源管理，排污控制，資源節約，清潔生產，或同等項目顧問經驗的記錄。"]
[]
[]
["3)","根據第二類別登記成為工程公司"]
[]
["a)","該公司最少兩年已實施包括工業能源管理，污染控制，資源保育或清潔生產方面的硬件系統供應和安裝的工程項目，或同等經驗的記錄。"]
[]
["b)  \n","最少三個已完成的項目資料，包括這些項目的客戶代表聯絡資料*10。當環境技術服務供應商登記後，這些項目資料和客戶聯絡資料將提供給公眾查閱。"]
[]
["第IV部份:聲明"]
[]
["我/我們（下開簽名者）："]
["a)","確認是次申請所提供的資料及相關資料在提交日是真實而正確並能反映我／我們公司的情況。我／我們了解是次申請中如有任何不正確／不完整的資料將會延遲我／我們根據清潔生產伙伴計劃（本計劃）下註冊成為環境技術服務供應商的申請 。如果是次申請所提供的資料有任何的變動，我／我們將會立即通知秘書處。"]
[]
["b)","同意當我／我們公司已登記成為環境技術服務供應商後，我／我們將為我／我們參與本計劃下資助項目的工作人員發出一份行為準則，或遵守本計劃下發佈的行為準則。"]
[]
["c)","已獲得我／我們客戶的同意，將是次環境技術服務供應商登記申請中他們的聯絡資料和項目紀錄提供給公眾參閱。"]
["授權簽署及公司印章："]
["姓名："]
["職位："]
["日期："]
[]
["申請人須知"]
["1)","請將已填妥的表格及所需文件等交予清潔生產伙伴計劃(本計劃)秘書處（秘書處電郵地址請參閱本表格第一頁），並以香港生產力促進局確認的收取日期為準。"]
[]
["2)","有關申請登記成為環境技術服務供應商的詳細資料，請登入本計劃官方網站 http://www.cleanerproduction.hk並參閱文件「清潔生產伙伴計劃：環境技術服務供應商登記指引」。"]
[]
["3)","請確保本表格內所有部份已填妥及資料正確。"]
[]
["4)","請確保此通訊地址正確無誤，此地址會應用於日後聯絡及郵寄本計劃的相關文件。"]
[]
["4A)","城市包括:廣州市，深圳市，珠海市，汕頭市，佛山市，韶關市，湛江市，肇慶市，江門市，茂名市，惠州市，梅州市，汕尾市，河源市，陽江市，清遠市，東莞市，中山市，潮州市，揭陽市，雲浮市和香港。"]
[]
["5)","若成功登記成為環境技術服務供應商，聯絡人(1)的資料將會列於名錄中並上載至本計劃官方網站。"]
[]
["6)","申請人需提供兩位聯絡人資料，成功登記後所有有關本計劃項目的跟進事宜，秘書處將會直接與該兩位聯絡人聯絡。如需更改任何資料，申請人可向秘書處提出更新資料的書面申請。"]
[]
["7)","這是一個環境技術服務供應商登記活動，申請人和香港特區政府、項目管理委員會或香港生產力促進局沒有任何合約上的關係。香港特區政府、項目管理委員會或香港生產力促進局並不承擔任何申請人與本登記活動所涉及的相關費用和任何法律責任。"]
[]
["8)","香港的申請人請提供由香港特區政府發出有效的商業登記證明文件，其他地區的申請人請提供有效的商業登記文件以證明公司的合法登記狀況。"]
[]
["9)","本表格所提供的資料會應用於處理本計劃內環境技術服務供應商登記的申請。本表格內的個人資料及有關訊息或會提供或轉移至相關政府部門及機構以進行核實。除了以上情況外，本表格內的個人資料及有關訊息或會在申請人同意下，或根據《個人資料（私隱）條例》所容許的情況下，向其他單位提供。申請人可以書面通知本秘書處查詢或更正在已提交的申請表格內的個人資料。"]
[]
["10)","秘書處可能會根據申請人所提供的已完成的項目的資料與客戶作出聯絡，以確認資料是否屬實。"]
[]
["11)","申請人如符合登記要求，將獲發暫准登記（即「P牌」），暫准登記的有效期為12個月。"]
[]
["12)","已獲取暫准登記的環境技術服務供應商如在暫准期間的12個月內在本計劃下被壹家工廠委託，執行壹個已審批的項目（實地評估或示範項目）並達到所需標準，其暫准登記將被提升為正式登記。已獲取暫准登記的環境技術服務供應商如在暫准期間內，未能在本計劃下被壹家工廠委託以執行壹個已審批的項目，其暫准登記將會被註銷。"]
[]
["13)","香港生產力促進局和指定的合作伙伴或會參照表格內的個人資料及有關訊息，透過電子郵件、短訊、傳真或電話通知你有關本局和其合作伙伴的最新產品或服務。"]
[]
[null,"如申請人不想收取宣傳及推廣資料資料，請在右面空格選擇「不想」。",null,null,"請選擇"]

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["清潔生產伙伴計劃：環境技術服務供應商登記指引(附件一)"]
["ET05/20(TC)(2020-07)"]
["第"]
["頁"]
[]
["請選擇"]

{"sheet":"市","index":2,"n_rows":22,"n_cols":1,"rows_kept":22,"cut":false,"hidden":true,"merged":[]}
["香港"]
["廣州市"]
["深圳市"]
["珠海市"]
["汕頭市"]
["佛山市"]
["韶關市"]
["湛江市"]
["肇慶市"]
["江門市"]
["茂名市"]
["惠州市"]
["梅州市"]
["汕尾市"]
["河源市"]
["陽江市"]
["清遠市"]
["東莞市"]
["中山市"]
["潮州市"]
["揭陽市"]
["雲浮市"]

{"sheet":"地區","index":3,"n_rows":3,"n_cols":1,"rows_kept":3,"cut":false,"hidden":true,"merged":[]}
["廣東省"]
["香港"]
["其他"]

{"sheet":"先生女士","index":4,"n_rows":2,"n_cols":1,"rows_kept":2,"cut":false,"hidden":true,"merged":[]}
["先生"]
["女士"]

{"sheet":"區號","index":5,"n_rows":2,"n_cols":1,"rows_kept":2,"cut":false,"hidden":true,"merged":[]}
["+852"]
["+86"]

{"sheet":"是否","index":6,"n_rows":5,"n_cols":1,"rows_kept":5,"cut":false,"hidden":true,"merged":[]}
["是"]
["否"]
[]
["想"]
["不想"]