REN21 - WIREC 2008 Pledge Form

WIREC 2008 participants can propose below a pledge for the WIREC International Action Programme (WIAP).

If you are the contact person for more than one pledge, please enter the information for each one separately.

For any questions, please contact the REN21 Secretariat at wiap(at)ren21.net (or +33144375093).

PLEDGING ENTITY

Lead Entity(ies)
Insert full title(s) of the lead entity(ies) who submit this pledge, incl. the region or country of the entity(ies) or its (their) headquarters.

Other Participating Entity(ies)
If applicable, please insert the name of any other entity(ies) that are participating in the pledge.

PLEDGE

Summary Title

Main Objective(s) / Goal(s)
One or two sentences describing the main objective or goal of the pledge.

Specific Content
If applicable, please indicate separate steps or phases in accordance with the time frame of the pledge.

Expected Results / Impacts
If possible, please quantify the expected results of the pledge (e.g. increase in population access to renewable energy, GHG reduction, percentage increase or target(s) for renewable energy: overall primary energy or by sector, increased public/private resources devoted to RE research, deployment, increases in public awareness, etc.)

Pledge Target Area
Where pledge will be implemented (country, region, state, city, industry, facility, etc.)

Arrangement(s) for Financing

Time Frame

Monitoring Process
If applicable, please specify the monitoring process associated with the pledge.

OTHER INFORMATION

Additional Comments
Here you may include other relevant information regarding your pledge.

CONTACT PERSON(S)

Contact Person / Responding Office
Please note that the contact should be available for follow-up enquiries beyond the WIREC conference, and should indicate a successor in case of change of responsibilities.

Title
Mr Ms Dr Prof Other (please specify)

Other:

First Name

Family Name

Organisation
Please write out full title of the organisation to which the contact is affiliated.

Telephone Number
Please indicate number for international dialling, including country code (e.g. +33 1 44 37 5094)

Fax Number

Email Address
Please indicate an email that will be checked frequently. If the email address changes, please indicate this as soon as possible.

Upon submission, your proposal will be received by the WIREC 2008 committee and considered for inclusion in the WIREC 2008 International Action Programme. You will be informed if your submission has been accepted and whether any changes need to be made.

We thank you for your commitment!