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8/6/2019 Project Application & Registration
1/4
Committed Leadership in Sustainability
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PPP rrr ooo j j j eee ccc ttt AAA ppp ppp lll iii ccc aaa ttt iii ooo nnn &&& R R R eee ggg iii sss ttt rrr aaa ttt iiiooo nnn FFF ooo rrr mmm
Please forward the completed Registration Form to theGreen Building Council of Sri Lanka at No. 22B Station Lane Nugegoda
General Project Information
Project Name _______________________________________________________________
Project Address _____________________________________________________________
Location (City/Town) _________________________________________________________
Project Contact Information
Name _____________________________________________________________________
Designation ________________________________________________________________
Organization ________________________________________________________________
Address ____________________________________________________________________
Telephone Number ___________________________________________________________
Email Address ______________________________________________________________
Website (if Any) _____________________________________________________________
Other Information
Owner of the Project _________________________________________________________
Company Name _____________________________________________________________
Telephone Number ___________________________________________________________
Email Address ______________________________________________________________
Project Team
Designation Name Contact No Email Address
Project Manager
Architect
C&S Engineer
8/6/2019 Project Application & Registration
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Committed Leadership in Sustainability
M&E Engineer
Landscape Architect
Sustainable Design Consultant
Environmental Consultant
Facade Consultant
Acoustic Consultant
Main Contractor
GREEN SL Rating system
Facilitator
Others _____________________________________________________________________
___________________________________________________________________________
Project Details
New Construction Refurbishment
Site Area (in M 2) ______________________
Building Footprint (In M 2) ______________________
Built-up Area (in M 2) ____________________
Estimated cost of design & construction or retrofit of the building or structure (Rs) ________
Estimated cost of maintenance and operation of the building or structure (Rs) ___________
Project Type (Select ALL uses that apply):
Commercial Office Government
HealthCare Industrial
Restaurant Recreation
Laboratory Stadium
Hotel / Resort Library
School/College Campus
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Committed Leadership in Sustainability
Community Other
If Other Please Specify ________________________________
Brief description of project & major design features (If Space not sufficient attach itseparately)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Expected Construction Start Date __________________
Expected Construction Completion date ___________________
This Project is confidential Yes No
*Please indicate if this project is confidential and should not be discussed outside of GBCSL
Supporting Document
Certificate of title Project Brief Project Brochure (If available)
Others______________________________________________________________________
8/6/2019 Project Application & Registration
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Committed Leadership in Sustainability
Application Submission
* The Application will not be processed unless this form is completely filled-in and all the required documentation is attached.
* The Applicant will be informed of the Registration Fee payable upon acceptance of the Application & Registration Form.
* The Invoice and GBCSL Agreement will be issued once the Application has been approved.
Signature of the Applicant Company Seal
_______________________
Name __________________________
Designation __________________________
Date ___________________
For Office Use Only
Date received __________________
Receipt No __________________
Amount _________________
Decision of the Membership Committee
_____________________________ Chairman, Project Committee
Decision of the Board of Directors
Registration No ________________
_______________________________
Executive Director