ACI Code Signatory Application Form

Code of Conduct Signatory Application

Thank you for applying to become a Signatory of the Australian Carbon Industry Code of Conduct. This form should take approximately 30 minutes to complete, and you will receive a decision on your application from the Code Administrator within 10 business days.

Please note that providing incorrect or incomplete information may lead to the delay or rejection of an application. Where the Administrator required further information, this may leas to a delay in providing an application outcome. All commercial-in-confidence information will be treated with appropriate confidentiality and and subject to the requirements of relevant laws, in particular the Privacy Act 1988.

If you have questions about the application form or application process, please contact the Code Administrator: code.administrator@carbonmarketinstitute.org

Organisation Information

1. Organisation Details

Organisation Name

Preferred business/ trading name

Year of organisation establishment

ABN

ACN

Does your organisation have any subsidiaries that will be covered by the ACI Code?

YesNoNote: If your organisation has any subsidiaries that are covered by the ACI Code please list them below (refer to guidance material on how these fees are calculated for multiple entities).

If yes, please list the subsidiaries/separate legal entities

Organisation Information

Street

Suburb

State

Postcode

Country

Email

Phone

2. Primary Contact Details

First Name

Surname

Contact Phone

Email

Job Title

3. Should invoices be directed to the Primary Contact above?

Invoicing Contact Details

First Name

Surname

Phone

Email

Job Title

4. Please provide explanatory information or supporting documentation on your organisation's business model and corporate structure

Please upload supporting documentation (optional)

5. Please outline the skills, qualifications, and capabilities of your organisation (including relevant staff) to support the activities of your organisation in the carbon industry and compliance with the Code

Please upload supporting documentation (optional)

Signatory Activities

6. Which of the following activities does your organisation undertake? Please select all that apply to your organisation's current operations related to project and/ or advisory services in the carbon industry. Hold Ctrl to select multiple options.

7. Please provide explanation of your organisation's activities as they relate to project and/ or advisory services in the carbon industry

8. The Code is a consumer protection Code that defines 'client' as both supply-side and demand-side consumers operating in the Carbon Market. These definitions can be found in the Appendix 1 (14) of the Code, and online here. Please provide your organisation's client types

Signatory Type Confirmation

9. Which Signatory type do you wish to apply for? (refer to decision tree here and current prices here). If your organisation's preferred Signatory type and/ or category changes, please notify the Code Administrator within 10 business days.

Project Services Required Information

If your organisation is currently involved with pre-project activities for Carbon Offset or ERF Projects that have not yet been registered, please describe these activities. Pre-project activities are activities that occur before an application is lodged for project registration e.g., project feasibility assessments for potential clients

How many registered Carbon Offset or ERF Projects is your organisation currently contractually involved with?

Please provide the project ID for these projects. Project IDs can also be provided in an attachment document.

Please upload project Ids documentation (optional)

If you are unable to provide the project IDs, please list the scheme the projects are relevant to; associated method(s) or project type(s); and the project location(s) (State and Postcode)

Compliance History

10. The Code of Conduct requires all Signatories to undetake due diligence to determine if an Australian Financial Services Licence (AFSL) is required for their business activities. Does your organisation hold an AFSL or a corporate authorise representative (CAR) of an AFSL?

Please provide either your AFSL or AFSL CAR details as relevant

11. Has your organisation had any previous non-compliances with CFI Act or other federal or state/ territory legislative requirements?

YesNo

Please provide any specific non-compliance

12. Is your organisation, or any of its directors, currently under investigation for any misconduct or criminal wrong doings, including activities that may bring the Code of Conduct or the carbon Industry into disrepute?

YesNo

Please provide further details as appropriate.

13. Please specify reasons for applying to become a Code Signatory (select all that apply)

Please provide any additional reasons.

14. How did you hear about the Code of Conduct?

Additional Information

15. I confirm that (if relevant to the organisation) the relevant personnel within the organisation have read and understand ICIN's guidance on free, prior and informed consent.

Yes, I confirm above.

16. I confirm that I have read and understand ASIC Regulatory Guide 236 and that my organisation is compliant with the Corporations Act 2001 (Corporations Act) and AFSL requirements as relevant

Yes, I confirm above.

17. I confirm that my organisation has an internal complaints handling procedure. Please note that an internal complaints handling procedure must be provided for an application to be accepted.

Yes, I confirm above.

Please attach your organisation's Internal Complaints Handling Procedure here (required).

Australian Carbon Industry Code of Conduct

APPLICANT DECLARATION

This declaration form must be signed by a suitably authorised representative within the organisation - who may not necessarily be the primary contact specified above.

If you are unable to tick all the boxes below, please provide supporting documents to code.administrator@carbonmarketinginstitute.org. You can also contact the Code Administrator to discuss your application further.

Where an applicant cannot tick all the boxes below, approval of the application remains at the discretion of the Code Administrator. Where an undertaking is found to be falsely provided, the application will be rejected or, if already approved, the signatory may be removed.

I declare, together with all relevant individuals in this organisation, that:

I have read and understood the Carbon Industry Code of Conduct (the Code) insofar as it applies to the business if this organisation;

I have provided information in this application that is true and accurate. I agree to inform the Code Administrator if the information provided is no longer valid or accurate;

I declare that the applicant organisation (including its personnel):

agrees to comply with the Code;

is committed to developing and conducting business in line with industry best practice as outlined in the Code and interacting with clients and other stakeholders in a professional and ethical manner;

will respect the objective of all documentation used to support the administration of the Code;

will take reasonable steps to avoid any actions, omissions or business practices that could damage the reputation of the carbon industry or may adversely impact on the achievement of the objectives or vision of the Code.

will disclose to the Code Administrator any information regarding a complaint made against the applicant organisation, in line with the requirements outlined in the Code of Conduct.

will undertake all carbon-related activities covered by the Code (and commencing on or after 1 July 2018):

in a transparent and accountable manner;
ensuring environmental and social integrity of the relevant scheme/s;
complying with applicable legislation and regulations; and
facilitating community trust in the outcomes of the relevant scheme/s.

has not, during the past five years, had any director, manager, partner, or shareholder involved as a director, executive, manager, partner or shareholder of any business that has engaged in any activities which could cause the code to fall into disrepute, such as:

Received any formal or informal undertakings, civil or criminal, against it
Received any court, judgements against it
Suffered insolvent liquidation, whether voluntary or involuntary, or been dissolved, appointed an administrator or receiver; or
Been removed from the Code.

I confirm, together with all relevant indiduals in this organisation, that:

I understand that the Code Administrator may provide certain information in this application to external parties for legal review and assessment as required. All information will be treated with appropriate confidentiality.

I acknowledge and agree that I am not entitled to and will not make any claim against the Code Administrator for delays in processing an application or for rejection of an application.

I am confident that I am authorised to make this application on behalf of the applicant organisation

Please check the box below to complete the Applicant Declaration

I confirm that I have read, understand and agree to all of the above items