To,
VVB GHG PT. SBC Asia Sertifikasi
At – Kebumen
Dear Sir/Madam,
We hereby submit the Greenhouse Gas (GHG) Verification Application Form along with the company data as provided below:
| Name of Company | Address | Kind and Number of Facilities |
|---|---|---|
| Previous VVB Name | Verification Period |
|---|---|
| No. | Category | Sub Category | Identified Yes |
Identified No |
|---|---|---|---|---|
| 1 | Category 1: Direct GHG emissions and removals | Direct emissions from stationary combustion | ||
| Direct emissions from mobile combustion | ||||
| Direct process emissions and removals from industrial processes | ||||
| Direct fugitive emissions from the release of GHG in anthropogenic systems | ||||
| Direct emissions and removals from land use, land use change and forestry (LULUCF) | ||||
| 2 | Category 2: Indirect GHG emissions from imported energy | Indirect emissions from imported electricity | ||
| Indirect emissions from imported energy other than electricity | ||||
| 3 | Category 3: Indirect emission from transportation | Indirect emissions from upstream transport and distribution for goods | ||
| Indirect emissions from downstream transport and distribution for goods | ||||
| Indirect emissions from employee commuting | ||||
| Indirect emissions from client and visitor transport | ||||
| Indirect emissions from business travel | ||||
| 4 | Category 4: Indirect GHG emissions from products used by organization | Indirect emissions from purchased goods | ||
| Indirect emissions from capital goods | ||||
| Indirect emissions from the disposal of solid and liquid wastes | ||||
| Indirect emissions from the use of assets | ||||
| Indirect emissions from the use of other services | ||||
| 5 | Category 5: Indirect GHG emissions associated with the use of products from the organization | Indirect emissions or removals from the use stage of the product | ||
| Indirect emissions from downstream leased assets | ||||
| Indirect emissions from end of life stage of the product | ||||
| Indirect emissions from investments | ||||
| 6 | Category 6: Indirect GHG emissions from other sources |
| No. | Category | Sub Category | Emission (tCO₂eq) |
|---|---|---|---|
| 1 | Category 1: Direct GHG emissions and removals | Direct emissions from stationary combustion | |
| Direct emissions from mobile combustion | |||
| Direct process emissions and removals from industrial processes | |||
| Direct fugitive emissions from the release of GHG in anthropogenic systems | |||
| Direct emissions and removals from land use, land use change and forestry (LULUCF) | |||
| Total Category 1 | |||
| 2 | Category 2: Indirect GHG emissions from imported energy | Indirect emissions from imported electricity | |
| Indirect emissions from imported energy other than electricity | |||
| Total Category 2 | |||
| 3 | Category 3: Indirect emission from transportation | Indirect emissions from upstream transport and distribution for goods | |
| Indirect emissions from downstream transport and distribution for goods | |||
| Indirect emissions from employee commuting | |||
| Indirect emissions from client and visitor transport | |||
| Indirect emissions from business travel | |||
| Total Category 3 | |||
| 4 | Category 4: Indirect GHG emissions from products used by organization | Indirect emissions from purchased goods | |
| Indirect emissions from capital goods | |||
| Indirect emissions from the disposal of solid and liquid wastes | |||
| Indirect emissions from the use of assets | |||
| Indirect emissions from the use of other services | |||
| Total Category 4 | |||
| 5 | Category 5: Indirect GHG emissions associated with the use of products from the organization | Indirect emissions or removals from the use stage of the product | |
| Indirect emissions from downstream leased assets | |||
| Indirect emissions from end of life stage of the product | |||
| Indirect emissions from investments | |||
| Total Category 5 | |||
| 6 | Category 6: Indirect GHG emissions from other sources | ||
| Emission Sources/Sink | Level Data Transfer | Number of Data (in Year Reporting Period) |
|---|---|---|
We have filled out this application completely and accurately.
We submit this application form, and thank you for your attention.
Sincerely,