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Green Sustainability Awards 2012 - Pre Registration Form
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The Green Sustainable Award
The Green Sustainability Award, is the premier environmental award for business, industry and individual mainly from Penang. It is open for others in Malaysia as long as the company product or individual contributes to Penang, with the view of recognizing and bringing Green Talents and Industry to Penang from all over Malaysia.
Benefits To The Winners
Recognition as an exemplary organisation committed to environmental management
A Certificate and/or Plaque of Participation
Eligibility to use the Award’s logo for publicity purposes at the specific year.
Eligibility to attend one free, one-day seminar/briefing/workshop on sustainable development organized by the organisers
Classification for Participation
Nomination and Participation is open to 4 categories of participants:
Large Enterprises -- Companies with full time employees exceeding 150 or with annual sales turnover exceeding RM25 million.
Small and Medium Enterprises -- Manufacturing (including Agro-Based) & Manufacturing-Related Services (Companies with full time employees not exceeding 150 or with annual sales turnover not exceeding RM25 million)
Special Achievement Award for the nominated Green Personality- For passionate and committed
individual or a team of people who are working towards a better environment for the community.
Student Award for Green Student Award – For passionate and committed students studying in
institution of higher learning (private or government), who are working towards a better environment for
the community.
Application Fees
1. Large Enterprises: RM800 per application 2. SMEs: RM 350 per application 3. Green Personality : RM250 per application 4. Green Student : FOC per application
Participation Form We would like to register our application to participate in the Green Sustainability Award. Location of Site/Facility/Person/Student:___________________________________________________________ Category * : Large Enterprises SME Personal Student If Industry please circle the industry or sector. Industry Sector * : 1) MANUFACTURING Basic Metal Chemical Electrical & Electronics Fabricated Metal Food & Beverages Machinery & Equipment Non-metallic Mineral Products Paper, Paper products & Printing Petroleum & Petrochemicals Plastics & Plastics Products Rubber & Textile Products Wood & Wood Products Agro-Based Industries (Plantations) Others ____________________________________________________________ (please specify)
2) SERVICES SECTOR Banking & Financial Services Construction & Real Estate Hotels & Resorts Healthcare Others _____________________________________________________________ (please specify) Submitted by
Signature: …………………………………………………………………………..………….……....………….…….. Contact Person: ………………………………………………………………………..……………..………….…….. Designation: ……………………………………………………...……………..………………….....………….…….. Enterprise: ……………………………………………………………………………………………..………….…….. Address: …………………………………………….………………………………………………...………….…….. . ……………………………………………………………………….……………………...………….…….. . Tel: …………………………………….................... Fax: ……………………………...........………….….….. E-mail: ………………………………………………………………………………..........................………….…….. Date: ……………………………………….
* (Please where applicable)
Please submit the Registration Form together with payment by 31 March 2012 to:
The Secretariat, (Penang Chinese Chamber of Commerce)
9th Floor, Penang Chinese Town Hall Building, 22, Jalan Masjid Kapitan Keling, 10200 Penang, Malaysia. Tel: 04-262 4059. Fax: 04-261 3650, Tel : 012-2964984 Mr Terry Tan
e-mail: [email protected] website: www.gipwg.org
Enclosed please find cheque no.__________________ for RM____________ made out to Penang Chinese Chamber of Commerce