CDM project activity registration request form (Version 03.0)

| Section 1: Request for registration |  |  |  |
| --- | --- | --- | --- |
| Name of designated operational entity (DOE) submitting this form | DNV |  |  |
| Title of the proposed CDM project activity submitted for registration | Afam Combined Cycle Gas Turbine Power Project |  |  |
| Project participant(s) name(s) | \- The Shell Petroleum Development Company of Nigeria Limited (authorized by Nigeria) |  |  |
| Sector in which project activity falls | 1: Energy industries (renewable - / non-renewable sources) |  |  |
| Is the proposed project activity a small-scale activity? | Yes/No (underline as applicable) |  |  |
| Section 2: Summary of validation documents |  |  |  |
| List of documents to be attached to this form (please check mark): |  |  |  |
| ☒ The CDM-PDD of the project activity (last revision)☒ The validation report☒ All documents listed in the completeness checklist for requests for registration |  |  |  |
| Validation Report and comments received in the validation process by the DOE are attached: | YES ☒ NO □ |  |  |
| Section 3: Further Documents |  |  |  |
| ☒ The written approval of voluntary participation from the designated national authority of each Party involved, including confirmation by the host Party that the project activity assists it in achieving sustainable development☒ A statement signed by all project participants stipulating the modalities of communicating with the Executive Board and the secretariat in particular with regard to instructions regarding allocations of CERs at issuance |  |  |  |
| Section 4: Conflict of Interests |  |  |  |
| The DOE declares herewith that in undertaking the validation of this proposed CDM project activity it has no financial interest related to the proposed CDM project activity and that undertaking such avaliation does not constitute a conflict of interest which is incompatible with the role of a DOE under the CDM. |  |  |  |
| By submitting this validation report, the DOE confirms that all validation requirements are met.Name of authorized officer signing for the DOEDate and signature for the DOE | WEN, BO2012.10.29 |  |  |
| Section below to be filled by UNFCCC secretariat |  |  |  |
| Date when the form is received at UNFCCC secretariat |  |  |  |
| Date at which the registration fee has been received |  |  |  |
| Date at which registration shall be deemed final |  |  |  |
| Date of request for review, if applicable |  |  |  |
| Date and number of registration |  | Date | Number |
| . |  |  |  |

Version 03.0