Collection & Supply Partner Verification - Due Diligence
To qualify your organization for selected services in Empower Platform, Empower needs to conduct a partner check (due diligence). For this, your organization should complete an assessment addressing key information such as location, size, policies and existing partnerships.
This form should be filled by a person in the organization with the necessary authorisations.
If you have any further question, please reach out to
[email protected]What is the name of your organisation?
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What is the reason of your organisation?
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What is the reason of your organisation?
Organisation description
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Give an accurate an truthful description of your organisation: what are your current activities and focus, what materials do you collect and/or recycle, what is your current focus, how do you operate and where, etc...
Countries and regions of operation
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If more than 1, please list all the countries and regions where you operate.
Please provide the address of your main office/site
Webpage of your organisation
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Linkedin page of your organisation
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If your organization has a LinkedIn page (www.linkedin.com), please provide a link.
Linkedin profile of relevant manager
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If the manager of the entity related to a collaboration with Empower has a LinkedIn profile (www.linkedin.com), please provide the link to their profile.
Public record of your organisation
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Please upload a copy, image or pdf of constitutional documents of the organisation (such as by laws, memorandum of incorporation, articles of association, etc)
Tax number of your organisation
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Please provide the number at which your organization files taxes, and inform the number's designation in your local jurisdiction (VAT, or any other taxes). If you don't have one, qrite "Not Applicable"
Please provide basic information about the organisation's ownership, meaning name of the founder(s), CEO and name of board chairman.
Please state how many employees are formally employed full-time by your organisation
Do you work with informal / freelance waste pickers?
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Do you work with informal / freelance waste pickers?
Which of the following policies does your organisation have in place?
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Which of the following policies does your organisation have in place?
Please upload any policy documentation from the list you picked above
Please list any local organisation or community your organisation is cooperating with
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Write the name of the organisation(s) and/or communities and include a short description of the cooperation, or write 'Not Applicable"
Please list any international organisation you organisation is cooperating with
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Write the name of the organisation(s) and/or communities and include a short description of the cooperation, or write 'Not Applicable"
Please list any public bodies your organisation is cooperating with
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Write the name of the public body and include a short description of the cooperation, or write 'Not Applicable"
Is your organisation already certified for a standard allowing the issuance of plastic credits?
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Is your organisation already certified for a standard allowing the issuance of plastic credits?
I have read and understood Empower Code of Conduct
Please confirm your full name, as the representative filling out and confirming the truthfulness of the content of this form
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