专家会员申请表-深圳国际能源与环境技术促进中心

1联合国工业发展组织深圳国际能源与环境技术促进中心UnitedNationsIndustrialDevelopmentOrganization-ShenzhenInternationalTechnologyPromotionsCentreforSustainableDevelopment专家会员申请表MEMBERSHIPAPPLICATIONFORM申请注意事项Pleasenote：I.每位申请人需填写一份登记表格，并将填妥之表格及彩色正面数码头像照片一张以电邮形式发送到[e-mail]。[e-mail].每年度蓝天奖入围技术的持有人自动成为UNIDO-ITPC专家会员。NominatedapplicantsofBlueSkyAwardeachyearwillbegiventhemembershipautomaticallyuponapplication.III.申请人提交的个人资料不对任何第三方公开，只供会员内部交流使用。Personalinformationonthisregistrationformwillonlybeusedforinternalexchangesamongthemembersandwillbekeptinconfidence.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~我支持UNIDO-ITPC推动环境友好的能源新技术产业化的工作，并希望成为专家会员。IsupporttheobjectivesofUNIDO-ITPCtopromoteenvironmentallyfriendlyenergytechnologiesandinnovationsforindustrializedapplicationandwishtobecomeamember.申请人个人信息Applicantinformation：国籍Nationality：________________________中文姓名ChineseName：____________________________________________________英文姓名EnglishName：____________(FamilyName)_____________(GivenName)出生日期DateofBirth：______-______-______(月-日-年mm-dd-yy)性别Gender：____身份证/护照号码IDCard/PassportNo.：_________________________________________地址Address：_______________________________________________________________电话Tel：____________________________传真Fax：_____________________________电邮E-mail：_______________________________________________________________申请人专业背景ProfessionalBackground：所属行业Industry（请勾选Pleasecheck）:可再生能源开发利用RenewableEnergy(RE)Utilization可再生能源技术研发RETechnologyR&D可再生能源项目投资REProjectInvestment可再生能源政策领域REPolicyArea其他Otherindustry（请注明Pleasespecify）：________________专业领域Profession（请勾选Pleasecheck）:太阳能Solar风能WindSerialNo.编号：:共同携手，促进可持续发展，开创美好生活。Workingtogetherinordertoachievesustainabledevelopmentandahigherqualityoflifeforallpeople.2生物质能BIomass水能Hodro地热能Geothermal氢能Hydrogen节能EnergyEfficiency能源政策EnergyPolicy能源环保EnvironmentalProtection能源投资Investment其他OtherArea（请注明Pleasespecify）：_________________________最高学历AcademicDegree：____________________________所学专业Major：____________________________毕业院校GraduatedFrom：____________________________工作单位BusinessName：________________________________职务Title：______________________技术职称TitleofTechnicalPost：__________________主要成果Majorachievements：_________________________重要经历MajorExperience：_________________________语言Languages:汉语Chinese英语English德语Germany法语French俄语Russia日语Japanese其他OtherLanguage（请注明Pleasespecify）：_____________________您愿意参与或协助UNIDO-ITPC开展的以下哪些活动？（请勾选）IwouldliketoengageinorprovideassistancetofollowingcampaignsofUNIDO-ITPC（Pleasecheck）:分享所在领域的可再生能源技术、应用和投资信息。Toprovideinformationoftechnologies,applicationsandinvestmentintheareaofrenewableenergyinmyprofession.推动年度蓝天奖获奖和提名技术在中国和其他发展中国家的应用。TopromotetheapplicationofannualBlueSkyAwardTop10andNomineetechnologiesinChinaandotherdevelopingcountries.推荐可再生能源领域具备良好投资价值的应用项目申报年度蓝天奖。TorecommendinvestmentscenariosinrenewableenergytobecomeannualBlueSkyAwardapplicants.协助筹集蓝天奖基金。ToassistraisingBlueSkyAwardFund.作为协办方或演讲者参加RETI年度研讨会和专题会议。ToparticipateannualRETIworkshopanditssatellitemeetingsasanassistantpartyoralecturer.其他Otherissues（请注明Pleasespecify）：____________________________________会员职能FUNCTIONUNIDO-ITPC专家会员的主要职能是：ThefunctionsofamemberexpertofUNIDO-ITPCareasfollow:交流与分享可再生能源技术、应用和投资信息。Toprovideinformationoftechnologies,applicationsandinvestmentintheareaofrenewableenergyinmyprofession.共同推动年度蓝天奖获奖和提名技术在中国和其他发展中国家的应用。TopromotetheapplicationofannualBlueSkyAwardTop10andNomineetechnologiesinChinaandotherdevelopingcountries.推荐可再生能源领域具备良好投资价值的应用项目申报年度蓝天奖。TorecommendinvestmentscenariosinrenewableenergytobecomeannualBlueSkyAwardapplicants.协助筹集蓝天奖基金。ToassistraisingBlueSkyAwardFund.作为协办方或演讲者参加RETI年度研讨会和专题会议。ToparticipateannualRETIworkshopanditssatellitemeetingsasanassistantpartyoralecturer.会员须知REGULATIONS专家会员并不是联合国工业发展组织深圳国际能源与环境技术促进中心的一项职务。MemberexpertisnotapositionofUNIDO-ITPC.专家会员证只作为持证人本人参加联合国工业发展组织深圳国际能源与环境技术促进中心主办的各项交流活动的内部凭证。ThiscertificateisonlyusedinternallyinactivitiesofUNIDO-ITPCandshouldnotbeusedforotherpurpose.专家会员证只供专家会员本人使用，不得涂改或转借他人。Thiscertificateshouldbytheexperthim/herselfandnotbealteredorlent.专家会员证有效期为签发之日起两年，到期需交回审验。TheperiodofvalidityofthiscertificateistwoyearssincethedayofissueandshouldbereturnedtoUNIDO-ITPCforre-approval.