Please, fill in all data correctly and you will receive our offer within the next two days. You may be contacted by our employees in order to clarify some details if necessary – we want to make sure that our proposal is accurate and proper.

Fields marked with a star (*) are obligatory.

All data submitted in this questionnaire is review in full confidentiality and in compliance with the law for personal data protection.

Organization profile
Organization name: *
ID number (Bulstat): *
VAT id number:
Address (registration): *
Head office address (if different):
Site address (if different):
If the company is part of a group or other structure, please specify:
Number of installations - specify: *
MD/Chief Executive Officer/General Manager: *
Contact person: *
Position of contact person: *
Phone: *
Mobile:
Fax:
E-mail: *
Other remarks (if necessary):
Please describe type of installation:
Desired verification date: *
СО2 emission processes that will be verified: *
Expected quantity of emissions: *
Do you have an emission report ready?: *
Consultants that took part in the emission report preparation (if any):
Sources of emissions and characteristics of the monitoring and report system.Please describe according to your permit all of the raw and secondary materials which consumption produces CO2 emissions. Describe the monitoring and report systems used in the process: *
Type of material Процес довел до СО2 емисии Одобрен алгоритъм Метод за мониторинг Регистриране на данните
e.g.: liquid fuel e.g.: burning e.g.: 2а e.g.: invoices or the measurement system of the supplier e.g.: accounting software or measuring protocols
Supporting documentation for the monitoring and measurement system (M&R system)Please describe the whole documentation which verifies the uncertainty in your M&R system.
M&R system Documents Source Date of release
e.g.: accounting software e.g.: accounting balance e.g.: Ministry of economics e.g.: 01-01-2007
Work language (for the verification process):
Do you have a certified management system and if YES please provide details:

Additional information (if any):
How did you hear about EuroBul Verify?
Customers	Partners
Media/Internet	Others:
Please state the name of the person/s who recommended to you EuroBul Verify:

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