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G r e e n B u i l d i n g C o u n c i l S r i L a
G r e e n B u ild in g C o u n c il S r i L a n k an k a
Membership Application Form
PPrroojjeecctt A
App(Association
pplliiccaattiioonn &
&RReeggiissttrraattiioonn FFoorrm
Membership) m

Please forward the completed Membership Application Form to the

Please forward
Green Building Council of Sri the completed
Lanka at No.Registration Form Lane
22B Station to the Nugegoda
Green Building Council of Sri Lanka at No. 22B Station Lane Nugegoda

Association/Organisation
General Project Information
Legal Status
Project Name _______________________________________________________________
Establish Date
Project Address _____________________________________________________________
Address - No.
Location & Street_________________________________________________________
(City/Town)
Town/City & Postcode

Office Telephone
Project Contact Information
Web Address
Name _____________________________________________________________________
Primary Contact - First Name
Designation ________________________________________________________________
Primary Contact - Surname
Organization ________________________________________________________________
Contact Numbers
Address ____________________________________________________________________
E-mail address
Telephone Number ___________________________________________________________
Total Membership – Current
Email Address ______________________________________________________________
No. of Member Organisations
Website (if Any) _____________________________________________________________
Please provide below a Secondary contact to act as your Member Administrator for the
GBCSL
Name
Other Information E-mail address

Owner of the Project _________________________________________________________

Please provide
Company Namethe_____________________________________________________________
names of any additional contacts within your organisation who you
would like to receive GBCSL communications direct, including information, updates,
newsletter,
Telephoneevent
Numberinvitations etc. Please list the names and e-mail addresses here
___________________________________________________________

Email Address ______________________________________________________________

Project Team

Designation Name Contact No Email Address

Project Manager
Architect
C&S Engineer 1

‘Committed Leadership in Sustainability’

‘Committed Leadership in Sustainability’


 M&E Engineer
Landscape Architect
Sustainable Design Consultant
Environmental Consultant
Facade Consultant
Acoustic Consultant
Main Contractor
GREENSL® Rating system
Facilitator

Others _____________________________________________________________________

___________________________________________________________________________

Project Details

New Construction Refurbishment

Site Area (in M2) ______________________

Building Footprint (In M2) ______________________

Built-up Area (in M2) ____________________

Estimated cost of design & construction or retrofit of the building or structure (Rs) ________

Estimated cost of maintenance and operation of the building or structure (Rs) ___________

Project Type (Select ALL uses that apply):

Commercial Office Government

HealthCare Industrial

Restaurant Recreation

Laboratory Stadium

Hotel / Resort Library

School/College Campus

‘Committed Leadership in Sustainability’



 Community Other

If Other Please Specify ________________________________

Brief description of project & major design features (If Space not sufficient attach it
separately)
___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Expected Construction Start Date __________________

Expected Construction Completion date ___________________




This Project is confidential Yes No

*Please indicate if this project is confidential and should not be discussed outside of GBCSL

Supporting Document

Certificate of title Project Brief Project Brochure (If available)

Others______________________________________________________________________

‘Committed Leadership in Sustainability’



Application Submission
* The Application will not be processed unless this form is completely filled-in and all the required documentation is attached.
* The Applicant will be informed of the Registration Fee payable upon acceptance of the Application & Registration Form.
* The Invoice and GBCSL Agreement will be issued once the Application has been approved.

Signature of the Applicant Company Seal

_______________________

Name __________________________

Designation __________________________

Date ___________________

For Office Use Only

Date received __________________

Receipt No __________________

Amount _________________

Decision of the Membership Committee

_____________________________
Chairman, Project Committee

Decision of the Board of Directors






Registration No ________________





_______________________________
Executive Director



‘Committed Leadership in Sustainability’