TAI LItU HUTING DAN BANG Kir' THAM GIA

GIAI THIFONG MO! TRUaNG VItT NAM NAM 2017

(Kern theo ang van sJ 5048/BDIMT-TOVIT ngay 03 thcing 11 nthn 2016 dui Ba Tat nguy'e.n vet Mei trzrong)

L MIJC BICH, t NGIIIA CUA GUI TIIITUNG

Giai dittoing Mth truang Viet Nam (Giai thuang) nham bleu ducmg, ton vinh cac to chat, ca nhan co thanh tich xuat sac trong Ilith vgc hao, ye inth tnrang (BVMT), tuyen truyen giOi thieu cac guong then hinh tien filen vd bao v'e mOi truang, Ian tOa phong trao thi dua yeu nuat trong Finh Sivrc bao ve moi

truang,,day manh phong ,trao toan dan tham gia bao v mth truang, gOp phan phat then kinh te xä hOi hen yang.

II. DOI TUVNG VA LINH VFC xiT TANG

1.1)61 ttrvng

Cac tA chirc, ca nhan va Ong dong tong nude vã ngoai nu& c6 thanh tich xuat sac trong sr nghiep 13VMT a Viet Nam.

2. Linh xet tring

2.1. Quan ly Nha ntrac ye bao ve mOi tnrang.

2.2. Giao due, dao tao, tmyen tilting; tham van, tu van, phan bien, giam sat thgc hien chinh sach, phap luat ye bao ve mei twang.

2.3. Nghien dm, ap thing tin he khoa hoc, Ong nghe trong drib vgc bao ve mei triton&

2.4. Pheng ngira,,giam thieu tac thing xau tai inth truang, khac phtic sr co, >alr 1' 6 nhiem, phuc hoi va cai thien mei truang.

2.5. Bao ye vã sir dung hop 15, tai nguyen thien nhien, bac) ton da dang shah

hoc va an Wan sinh hoc.

2.6. Thgc hien chien luqc tang truing xanh, Ung phi) yeti bien dOi khi hau.

ILL BLEU KIEN VA NGUYEN TAC XET TANG GIAI THCIONG

1. Diu kin xet Can

1.1. Dai vai tri chic a) Da hoot thing, san xuat, kinh doanh lien tic tai Viet Nam, kitting vi pharn

cac quy dinh ciia I.uat Bea v'e mei twang va cac quy,dinh phap luat khac caa Via Nam trong thai gian it nhat 04 (bon) nam, tinh den thai diem clang ky xet

tang Giai thuang; h) Tr nguyen clang ky hoc dugc mOt co quan, doan the', to chgc chinh tri

xa hth, to chtltc xã hi nghe nghiep gith thieu tham gia )(et tang Giai thuerng;

Co thanh tich xuat sac dugc xa hi ding nhan, giai quyet thanh tong it nhat met van de mei truerng dc tha hay thac day tien bQ trong hoat deng bao ve men trugng thuec met trong cac linh vtrc xet tang Giai thuemg.

Chua dugc trao tang Giai thuemg trong ky xet tang Giai thuerng lAn truck lien ke.

1.2. Dai vel cá nh an vti cOng ding

KhOng vi pham cac quy dinh caa Lust Bao ve,mOi truang va cac quy dinh phap luat khac caa Viet Nam trong theri gian it nhat 03 (ba) nam, tinh den thgi diem ang kY )(et tang Giai thuemg;

Tv nguyen dang k9 hoac dugc min co quan, doan the, t6 chat chinh hi - xa hei, tO chirc xã hi — nghe nghiep gigi thieu tham gia )(et tang Giai thuerng;

CO thanh tich xuat sac, la tam guong din hinh dugc moi ngueri noi theo thuec met trong cac linh vtrc xet tang Giai thuerng;

Chua dugc trao tang Giai thuong trong kjr xet tang Giai thugng Ian trut lien ke.

2. Nguyen tic xet ting 2.1. Vic xet tang Giai thuong phai thing Themg tu quy dinh ve Giai

thuerng, dam bao khach quan, khoa hoc, citing khai, chinh xac.

2.2. Giai thiremg ghi nhan va ton vinh nhong to chirc, ca nhan va cOng d'Ong, cO thing goo xi:mg dang cho sty nghiep•bao -ve mei truerng tinh den theridiam.tragiC--.7.-- -..

Giai thuerng.

2.3. Khong xet tang Giai thueing cho t chüc, ca than va cOng ding dä throe trao tang Giai thuong es Ian xet tang Ian mitt lien ke.

2.4. Trong kY )(et tang Giai thueing, m6i co quan, don vi chi duce trao tang 01 giai thuerng (tap the hoc ca nhan).

IV. HiNH TM:1'C VA co CAU CIA! THUtING

I. Giai thuong Mei trugng Viet Nam la Giai thuOng duy nhat dm B6 truang B6 Tai nguyen ,va Mei tnrong d trao tang cho to chat, ca nhan va c'eng

dong ,th thanh tich xuat sac trong str nghiep bao ye mei truerng & Viet Nam CO dü dieu kien xet tang Giai thuerng.

Giai thuerng dugc te chat xet tang 02 (hai) nam mret Ian.

s6 lugng, ca cat, Giai thugng:

SO luong Giai thuarng m6i lan t6 chat trao khOng qua 50 giai cho GA 03 (ba) loai: to chat, cá nhan va Ong clang thugt cat linh vtrc tham gia )(et tang chia thanh 06 (sau) nhOm doi tugng

Co cdu Giai thuerng Cu the' cho 03 (ba) loai va 06 (sau) nit dei tugng do Ban to chat dé xuat B truOng guy& dinh trong mOi lan to chat xet, tang Giai

thuemg

V. QUYEN LAN CIA TO CHtiC, CA NHAN VA CONG HONG DUVC fRAO TANG CIA! THONG

I. Dugc tang Bing chi:mg nhan caa B6 truOng BO Tai nguyen vã Mei throng, Bieu tnmg caa Giai thuemg.

Dugc thuang den hoac hien vat theo guy dinh hien hanh.

Dirge tuyen truyen, guang ha hinh anh san pham dot giai troll cac phircmg tin thong tin dai chung.

Dugc khai thac, SC/ dung Logo Giai thuamg ke tir khi dugc trao giai.

, 5., Dugc in en pham d quang bá son pham tai cac thi truing trong mien va /pee te.

VI. HUY QUYET DINH TANG (HAI THU'ONG VA THU HO! IIItN Visa

Khi pHs hien te chic, ca nhan va cang clang kheing trung thuc trong viec lap ho so de nghi xet tang (Iiai thuemg thi bi hay b6 quyet alinh tang Giai thutng, bi thu h6i toan hi? hit,tn vet, den thuang va khemg duce huong cac guyen lgi sau khi dirge tang Giai thuang, neu gay thiet hi thI phai bai thuang theo guy

dinh. Vic thu hai (Trial thuohg dugc ding ba ding khai tren cac phuang tin

thong tin dai chUng. Giao Thu truemg don vi trinh xet tang Giai thuerng cO trach nhiem thu

hal hien vat, tien thuang giao nap ye Ca guan thuang true Giai thuemg.

VII. HOI HONG XET ViNG I. Hai ding xet tang Gild thuerng do 130 truemg BO Tai nguyen vã Mai

tnrimg guet dinh thanh 1p (sau day ggi tat la lIOi <tang). S6 lugng thanh vien cilia Hai demg khong it hart 15 nguari. Hai &Mg c6 nhiem vu 04 BO truang BO

Tai riguyen,va Mai tn.rerng xat chgn cac to chire, cá nhan va cOng Tong có thanh

tich ,xuat sac trong sr nghiep bao ve m6i truang de nghi Ba twang xem xet,

guyet dinh tang Gild thuang.

2. Hai clang gi%5tn có Cha tich, Ph6 Chu tich va cac thanh vien Hai dang, cu

the nhu sau:

Chit tich II0i Lanh ciao HO Tai nguyen va mai truarng;

Ph6 Chit tich Hai &Mg thuang trim: Tong cuc truong Tang cuc Mai

truang;

,c) Ph6 Chit tich Hai ding: Vy truerng Vy Thi dua, Khen thframg va Tuyen

truyen; d) Cac Thanh vien 110i ding bao gam:

Dai din B6 Khoa hgc va Cong ngft& thanh vion;

Dai din Pheing Thuang ma' va Cong nghie'p Viet Nam, thanh vien;

- Dal din co quan Tilting tan, bao chi Trung ucrng, thanh vien;

- Dai dien to' chin: chinh tri - Xa hi, xa hQi — nghe nghiep, thanh vien;

- Lath dao Thanh tra Be Tai nguyen va Mei tnrang, thilmh vien;

- Cac thanh vien khac cUa Hei clang la chuyen gia, nha quart 1, nha khoa hoc, gide) dye thuec cac ITn.h vyc xet tang Giai thuong;

d) Ban Thu Icy" Hei deng do 'fling eve truemg Teng eye Mei truang guy& dinh thanh lap

3. Chia tich Hei deng hoac, Pith Chü tich thuang tryc deng dieu khien cac phien hop,cila Hei &mg. Ilei dong Jam viec theo chi; de tap the. Clic phien Imp dm Hei &Mg phai co it nhat hai phan ba (2/3) se thanh viene tham dy. Quyet dinh cüa 1101 &mg chi c6 gia tri khi co it nhat ba phan tu (3/4) so that-1h vien Hei (long có mat &rig Y.

, 4. CH tich Hei deng c6 the Uy quyan cho Ph6 Chu tich thuerng tryc HOl (long dieu hanh hog deng cüa Hei &Mg; CM tich Hei deng cei trach nhiem thay mat Hei dong bao coo BO truerng Be Tai nguyen va Mei truemg ye ket qua lam viec va de xuat càa Hei &Mg ye viec trao Giai tinning.

VIII. HO SO DE NGHT xtr 11.4NG GIAI THIIONG

Ban dang ky cua TO cherc theo MALI se la, dm Ca nhan theo mu lb, cua Ceng dong theo niau lc. Vai to chuc phai cc') chit Icy va dau ctia don vi dang kY tham gia; yeti ca..nhan va Ceng don .phai co.chitky yin ngueri dai then clang 14 „CT_ tham gia va xac nhan cern ca quan, dan vi, cluirc, hoc chinli "quyen Thj phucrng nui gi6i thieu tham gia xet tang Giai thtremg;

Bao cao thanh tich theo the tieu chi xtht tang Giai thuerng, theo Mu 2a ((lei vai th them), ML,2b (dOi v6i ca nha'n) va 2c (dOi v6i ceng dOng). Ben cao thanh tich phai neu day dU, re) rang, chinh xac the thanh tich xuat sac, rthi bat lien quan den bao ve m6i truemg theo Firth vcrc clang 14 xet tang Giai thuemg, ea kern theo tai lieu, hinh anh c6 n'ei dung cherng mirth thanh tich da dat duce. Bao cao thanh tich phai co xac nhan dm BO, ngenh, Hei "flung trang quail 1Y tryc tiep hoc xac n.han cüa SO Tai nguyen vá M'Oi true:mg tinh, thanh ph6 tryc thuec Trung ucrng nth to cherc, cá nhan va Ong &mg c6 thanh tich xuat sac trong huh vyc bao ve mai trueng

Tai lieu cherng rninh thanh tich, ket qua al) dung trong thyc tiên thuec cac linh vvc xet tang Giai thuong pi kern ha° cao thanh tich gOm cac loai sau (ne'u cO): Bang khen, Giay khen, giay chang nhan thanh tich, sang kien, sang tao ve linh vvc moi truerng, anh, dia hint' chUng mirth thanh tich xuat sac cilia to chirc, cá nhan va cOng &Mg trong hoat Ong bao vct mai truemg, eac logi van ban chUng minh tuan thà luat phap cna Vi@ Nam ye bac, ve' mai truemg.

Doi vai ca sO san xuat, kinh doanh dich vy thu'ec dei tuong phai lop Bao cao dinh gia tac deng mei true:mg, hoc de an bao v mei truang trong ho scr phthi có Quyet dinh phO duyet bao clo dzinh gia tac Ong mei truemg cua co

dinh phe duyet bao cao danh gia tac dOng mei truOtg try& khi du an di vao hoat Ong chinh thdc; K.et qua van tr&c moi throng hang nam theo quy dinh cua phap luat trong 02 nam tinh den thth diem clang kY xet tang Giai thuong.

5. Hai (02) anh cry 4x6 cUa cá nhan, bleu tugng claa te chic hoac anh chtm del net can b0 ctia co quan, don vi.

IX. QUY TRINH XET TOG GIAI THIYONG

Ho so dugc lap thanh 02 be girl ye Co quan thuerng true Giai thuemg (TOng cuc M'Oi truong) truck ngay 30 thang 3 nam 2017.

Tong ctic Mei truth-1g c6 trach nhiem tip nhan va kiem Ira tinh thgp lç cüa ho so; truemg hop he so chua hop le, Teng cuc Mei truerng yeu cau to chat, ca nhan va cOng dons be) sung,, hoon chinh trong thai han 15 (muoi lam) ngay lam viec Ice tir thin diem nhan hti so.

Ding cpc Mei tru(mg phan loai ho so theo timg Firth vtrc xet tang Giai thlreing va chuyen teri cac thanh vier' Ilei dong xet tang Giai,thuemg cham nhat la 10 (muth) ngay lam viec tar& buoi hap dau tion cOa Hei deng.

Xet. tang Giai thuang duce t6 chirc qua 02 (hai) vOng:

Van 1: HQi deng chia thanh cac Tieu ban theo nhem Rah we xet tang Giai thuang; Chia tich Hth clang quyet dinh viec thanh lap cac Tieu ban va phan he so cho cac Tieu ban. Cat: thanh vien trong,Tieu ban tiep nhan he so, den hanh. danh gia, thao luan va ch'am diem tfing he so theo tieu chi quy dinh. Sau

'khi xenixecdaith gill. tong Hop va tinh diem trung binh doi'Veyi t-irng 110 'sa:Car-Tieu ban tong hop, lap danh skit cac tO chirc, cá nhan c6 so diem trung binh dat Ur 70 diem tro- len de xet tier) es yang 2.

\Tong 2: HOi (tang lam viec tap the de xem xet timg he so c6 se diem tir 70 trO len do Ban Thu 4 tong hop va trinh Hth dOng. Cac thanh viten 'lei &Mg tien hanh dánh giá, thao luan va chain diem tang ho so theo tieu chi quy dinh.

Mix chenh loch se diem gii.ta cac thanh vien 1101 dong,cho cOng mth ha sa khong duce qua 20 diem; trueng hap mire chenh lech se diem cho ding met h8 so lem Ilan 20 diem, Hei (long sC thao luan va thOng qua phucmg an tinh diem trung binh bang 1111111 there bleu wet. Sau khi xem xet, danh gia tong hop va tinh diem trung binh doi vai tirng he so, Hth clang lap danh sach dC nghl xele tang Giai thuons cho cac tO ch(rc, ca nhan va Ong dong theo this ttr tit, diem so cao den diem so

Tren ca sec danh sach do,H0i d8ng xet tang, Co quan thuerng truc Giai thuemg (Tong cue Moi tarbng) phOi hap veri Thtrerng true ITOi &mg Thi dua - Khen thueng BO TM nguyen va MEM truemg xac minh, tham dinh va heart chinh hO so trinh BO twang BO Tai nguyen va Mei truimg xem xet, quyet dinh tang Giai thuOng cho ta'p the, cá nhan va cOng demg.

X. TIEU CHI VA THANG DIEM XET TANG GIAI THISUNG

1. D4i yen t ch(rc

Chap hard, tat cac guy dinh Luat phap Viet Nam ve BV1VIT: 30 diem

, (Edo ea° clay cla, chi tiat cac how clang the' hien viec tuan tha, chap hanh tot quy dinh caa Luat phcip Viet Nam ve BVMT va cac Luat phap lien quan khcic trong 2 nam 2015 -- 2016, kern tai lieu, hinh dnh, bang dig minh hog)

Co nhieu thanh tich nai bat, xuat sac v BVM'I': 30 diem;

(Edo coo di4 cll.?, chi tat tat cd cdc hoot clang nai bat, xuat sac v-d bcio ve moi tru6mg ado to char trong 02 nam 2015 - 2016, kern tell lieu, hinh cinh, bang dia minh

Co,cac Gong trinh khoa hoc, sang kin, giai phap 4iá tri, mang lai hieu qua kinh te - xa hOi -- mai twang &roc cap cO tham guyen vl Ong dong ghi nhan: 20 diem

(Liao cao torn tat Song kiern, gidiphdp kern tai lieu, so- lie.u, hinh cinh chang minh hieu qua cacz cting trinh khoa hoc: va sang kien, gidi phap ye BVMT)

Trong san xuat, kinh doanh, dich yy ya ctic float dOng khac the hien dugc trach nhiem xa hei \fa phat trien ben yang, haeing toi tang truerng xanh: 15 diem

(Bay ccio thanh tich ccicehogt clang tac clang tat, r5 ret tai xa hai, cang thing. nhte: Car thien mei trtrang song khu dein cu, hew sac khod con ngithi, tgo viec 7'7"

- lam, tang thu nhap, het kiern ingUyen nhien lie.u, neinglu-Ong,--ilarn,That that khi nha kinh, thzgphO vol bien clai khi Wu, htthng tol tang tru-Ong xanh ...)

Lap thanh tich ve bao ye mei tnrOng tai yang noi, yang sau, vimg xa ya hai dao: &roc cOng them 05 diem.

2. DOI Niel S nhfin vã Gong dOng

Chap huh tot eau quy dinh Luat phap Viet Nam ye BVMT: 20 diem

(Bdo coo clay dá, chi tiet ccic hoot clang the hien viec chap hanh tat quy clinh caa Ludt phcip Viet Nam ye BVMT vd ccic Luci:t phdp lien quan khcic (rung 2 nam 2015 - 2016, kern tin liCu, hinh cinh minh hag)

CO nhieu thanh tich Mil bat, xuat sac ye I3VMT: 30 diem;

(Bao ccio day cla, chi tiat tAt cd ccic hogt clang n6i bit, xucit sac ve' bao ye mOi truOng caa cci nhOn trong 02 nein? 2015 -- 2016, kern theo tai lieu, hinh cinh minh hog).

CO cOng trinh khoa hoc, sang,kien, giai phap gia tit mans lai hieu qua kinh te - xa hi mOi truemg duce cap c6 tham quyen ya cOng thing ghi nhan: 30 diem.

(Bcio ccio tom tat cong h-inh khoa hoc, sang kiln, gidi phap kern tai lieu, so lieu, hinh cinh chirng minh hieu qua ca cong trinh BVMT).

Trong sari xudt, kinh doanh, dich vy va cac hoat deng Ichac co gan tvai trach nhiem xä hei va phat trien ben yang, huang ter' tang truemg xanh: 15 diem

(Bcio cdo thanh tich nai bat cua cd,nhein de:mg tat tdi cdc vdn xã he& ceng clang nhu• cal thin mai truang song, Mc) v'es&c khoe con nguzil, too viec latn, tang thu nhap, tiet kiem nguyen nhien lieu, ;wing lutyng, &ng phO vol hien dal khi hdu, huthig tel tang trziong M xanh )

d) Lap thanh tich ve bao v mei truang tai yang nui, Wing sau, vang xa va hai dao; ngueri khuyet tat, nguei clan tec thrall sO: dirge Ong them 05 diem.

XL TO CHEt THITC IIIN

I. Tang eye Mei truang la Ca quan thueng tryc (iiai thuong, ehü tri, phei hop v6i Vy Thi dua - Khen thuang va Tuyen truyen vA cac don vi lien quan trye thuec Be Tai nguyon va Mei truang thyc hien the nhiern vv sau:

Xay dung ice heach va tuyen truyen pha bin ye Giai thuemg;

Chu tri va phoi hop vai Rao Tai nguyon va Moi trueng va Tap chi Mei truang to claim phat deng, huang dan va chi dao the ti) chin, ca nhan va ceng (long tham gia xet tang Ojai thuOng thee quy dinh cOa phap luat;

Cling be tieu chi Giai thuang; tO chirc tiep nhn ha sa de nghi xet tang Giai thuang; trinh Be trueyng 130 Tai.nguyen vã Mei tnteng thanh lap Hei deng xet tang Giai thuong va danh saeh tO chüc, ca nhan virceng dOng de righi tang Giai thuemg; to chile ding be va trao that thuang; eting be nht-ing clui de va firth vyc tru tien cUatan trao-giai tier). thee.

2.,Cac BQ quan lY nganh hoac Sex Tai nguyen va Mei truang t6 chirc tharn dinh ha so va co 9 kien xac nhan vao ban bao cao thanh tich cüa tap the, ea nhan, ceng (long thuec dia ban quan 19 tnrac khi gii ye Ca quan thuerng tnrc xet tang Giai thuang an Be Tai nguyen va Mei truemg la TOng eye Mei tnrang.

XII. TO CHCC LE TRAO GIAI TIIVONG

TOng cue Mei truerng la cu quart dau mei chiu trach nhiem truck Be truerng BO Tai nguyen va Mei truang ye viec te chirc Le trao Giai thuemg;

trao tang Giai throng dugc t chirc vao dip ngay Mei truemg the giai (ngay 05 thang 6 nam 2017);

trao Ciiai thuong dugc t6 chic trang tr9ng, truyen thong reng rai tren the phuang tin thOny tin dai chi:mg de ten vinh cac to chic, cá nhan va ceng deng có thanh tich xuat sac dei vai su nghiep bao v mei truong ey Viet Nam.

Dia chi nhcm 114 so': Trung tam Dao tap va Truyen thong mei truerng, TOng cyc Mei truang, SO 556 Nguyen Van Cu, Quan Long Bien, Ha Nei; Dien thoai 04. 38728307; Fax: 04.38727425.

Thong tin chi tiet ve viee )(et tang Giai thiremg Mei truang Viet Nam dugc clang tai tai Websitc 'Fang cue Mei truerng:Tittp://wwl,v.vea.gov.vn. Moi thong tin xin lien he: Ong Nguyen Van Phan, so din thoai: 0912138449, hoc ba D'Arip. liii T-T 3/4na ci diAn thnni 1105254Q59 5A

Pha lye la. BAN BANG Kt THAM GM }CET TANG Gal THLYONG MO! TRU'UNG VItT NAM

(Danh cho to chtiv) (Ban hanh kern theo Thong tie sO 62/2015/77-BTNMT ngery 16 thang 12 natn

2015 cilta BO trunng BO Tai nguyiin va Mai trudeng)

CONG HOA xA HQI CHIJ N6111A VIt'T NAM DOc 14p - Tafr do - Hanh phile

(Dia danh), ngity ...... thong ...... nam

BAN BANG Kt THAM CIA XET TANG GIAI THI.XUNG MO! TWA:NG VItT NAM

I. Ten tO chirc:

Dia chi lien he.

Dien thoai: E-mail:

Ngdy, thang, narn Quyet dinh thanh law

Nganh nghe hoat dOng chinh:

Ho va ten the' truemg clan vi:

Dien thoai:

Sau khi nghien ct'ru Thong tu se; ..,./TT-BTNMT,.ngay ...thang ...nam 2015, Oa BO Tai nguyen vA Mai truing, dot chieu veri diOu kin va tieu chi xet tanci Giai thuong Moi truerng Viet Nam, to cherc chUng Col clang k9 tham gia Giai thuerng 1\46i twang Viet Nam narn

nth vcrc da'ng k9 tham gia xot tang CHU thuong Mei true:mg Viet Nam. •

Ha so girl kern theo gam:

- 13an clang k9 tham gia xet tang Giaithuemg Mai twang;

- Báo cao thanh tich ve bao ve mtii truemg theo Iinh vtrc clang Ic9, giai don tir thing ...nam ...den thing ...nam ...;

- Cie tai liou minh chirng thanh tich gam:

Chung fed xin cam doan nhimg n'Oi dung ke khai trong ban Clang k9 ya ban bao cao thanh tich IA dung sir that, neu sal chong toi xin hoan toan chju trach nhiem truck phap luat hien }limb.

Xac nhan cita ngtrai ding &luta chic clang 1(9 Dai dien tã chirc Clang 14 (KY ten, clang dou) (195va ghi rei he? len)

Phy lye 2a. RAO CAO THAN!! TiCH TIIAM GM XET TANG GIAI THITONG MO! TRUtiNG WET NAM

(Danh cho to chat) (Ban hthnh kern theo Thong tic so 62/2015/TT-BMW ngezy 16 thcing 12 nam

2015 cilia 130 truenig B0 Teti nguyen vez Mai truldeng)

CONG IleM XA HOI Clal NGIliA VIET NAM Di)c lp - Ty. do - Hynh phac

.1.•••••

BAO CAO THANH TIC!! THAIVI GIA XET 'TANG GIAI THIcONG MO! TRUING VIET NAM

(Thai gian 1k Mang mean d'jn tháng —nom ...)

Ten don vi

Dia chi lien he.

Nganh nghe boat clang chinh•

Nguai dung du t6 chirc.

SA din thoai: Email:

Linh vcrc clang k9 tham.gia xet tang Giai thuemg•

Ncii dung IA° cao thanh tich:

I. Tinh hinh boat clang cOa ta cfnirc trong 02 narn (tinh den alai diem clang 1<9 xet tang Giai thiremg)•

--•••••••

Dóng gap dai v&i su nghiep bao v mai truemg:

Tinh hien qua ve kinh ta, xä hçi:

Quy ma va pham vi anh huerng•

Tinh lien tic va thei gian lac dang•

Trong vOng 04 nam gAn day co bi xfr phat vi pharn hanh Chinh ve bac) v moi twang (Ca/Khang)?):

Xac nhan caa SCY Tai nguyen vã Môitrutng Thu truemg don ,vi

(hoc BO, nganh quan 19 Mit tiep) (105 ten, ?long dau)

(kff ten, clang dciu)

Phu Inc lb. BAN BANG id TRAM GIA XET TOG GIAI THUONG MOI TRUONG VItT NAM

(Danh cho cth rzhcin) (Bon hanh kern theo Thong tit se; 62/2015/77-BTIVM7' ngay 16 thong 12 nam

2015 cica BO traang Bç5 rlai nguyen va Mai trtrang)

CQNG ROA XA flQI CHU NUBIA VItT NAM Dcic 14p - Ty' do - Ilynh phtic

(Dicz dank,), ngay thcing nam

BAN PANG Kit TRAM CIA XET TOG Wit URA:INC MOI TRIAING VIItT NAM

Ho va ten•

Ngay, thang, nam sinh-

Nai Cr hien nay:

SO chUng minh thu nhan dam

Dia chi lien he:

Dien thoai:

Nai cong tac:

Sau khi nghien dm Thong tu so FNMT, ngay ....thang ...nam 2015, ca BO Tai nguyen va MOi truing, dOi chieu vOl dieu kin va den chi xet tang Giai thutng MOi trutng Viet Nam, tOi clang IcSi tham gia Giai thueeng MOi taking Viet Nam nam

LThh vt.rc clang k tham gia xet tang Giai thuemg MOi truerng Vi'et Nam:

HO so girl kern theo gem:

- Ban clang kY than.' gia xet tang Giai thtremg;

- Bao cao thanli tich ye bao ye mei truemg theo linh yuc clang giai doan tü

thang ...nam ...den thang nam ...;

- Cac tai lieu minh chirng thanh tich gm:

Tel xin cam doan nhiing nOi dung ice khai trong ban clang kY va ban bao cao thanh tich la dung sr that, neu sai toi xin hoan toan chlu trach nhiem true:re phip luat hien hanh.

Xac nhan cUa chinh quyen dia Ngtrai clang kY phirang hoc nguti dUng #clau to chirc vez ghi rö lir) ten)

(7)5 ten, clang clew)

Phu Inc 2b. BAO CAO THANH TiCH THAM CIA 'CET TOG CIA! THIrONG MOI TRUING VItT NAM

(Danh cho co nhcin) (Ban licthh kern theo Thong tic so 62/2015/71-BTNMT ngay 16 thcing 12 nam

2015 cita HO truang BO Toi nguyen vO Mai trzthng)

CONG 116A XA 1101 CHU NGIItA Vita NAM WO 14p - Ty do - 1-13nh phtic

BAO CAO THANH TICH THAM CIA XET TOG GIAI THU0NG M6I TRVONG VItT NAM

(Thai gian tie timing ..... nam ..... din thong nom

EQ va tem

Ngay, thang, nam sinh-

Dia chi lien he.

Don vi Ong tac:

Linh vkrc Ong tac:

Linh \Ric clang k9 tham gia xet Giai

Ni dung ban cao thenh Bch:

1. Glen thieu ve qua trinh Ong tac lien quan den linh vcrc bao vernôi truemg:...

Dong gép di voi sr nghi'ep bão vi mei taremg:

Tinh hieu qua ve kinh te, xa hei•

Tinh din hinh va anh hiremg din yeti ceng d6ng•

Tinh sang to

Xac nhen cüa Sel Tái nguyen va Môi truerng (hoc Be, nganh quan 19 trve tiep)

(hi, ten, clang dOu)

Nguen viet ban cao va ghi râ ho ten)

Phu Ity lc. BAN PANG KY THAM CIA XET TANG

GIAI THIJONG MOI THONG VItT NAM (Detnh oho cOng thing)

(Ban hanh kern theo Thong tit so 62/2015/77'-B77VMT ngety 16 thong 12 flair 2015 cita B5 triretng Bc) Tai nguyen và M6i trtrang)

CONG HOA XA HOI CHU NGHIA VICT NAM 130c 14p - Ty. do - Hpth phtic

(Dia danh), ngthy thcing non? ...

BAN BANG Kt THAM GIA XET TANG Chu TH1LJONG M6I TRUONG VIIT NAM

Ten Ong &Ong.

f)ja chi c6ng &Ong.

Hy va ten ngueri dai dien c0ng d6ng:

Dien thoai: Fax: E-mail'

Sau khi nghien cat Thong tu s6 TI I -BTNMT, ngay .. .narn 2015, Gila B6 Tai nguyen va Moi truang, dôi chieu veri,dieu kien va tieu chi xet tang Giai thuemg Moi truerng Viet Nam, to chnc chung tai &nig k9 tham gia Giai thuong MOi truang Viet Nam nam

Linh vtrc clang 1(9 tham gia xet tang Giai tinning Mei truang Viet Nam:

Fin sa gni kern theo g6'm:

- Ban clang k9 tham gia xet tang Giai thuerng;

- Bao cao thanh tich v bao vC mOi truing theo huh vcrc clang k9, giai don th thang ...nam ... den thang nam ...;

- Cac tai lieu mirth chUng thanh tich g6m:

CI-161.1g tOi xin cam doan nhang n6i dung ke khai trong ban clang 1(9 va ban bao cao thanh tich la thing su that, neu sal cluing tOi xin hoan toan chin trach nhiem truac phap luat hien hanh.

Xac nhan cna chinh quyen dja play:mg Di dien c6ng d6ng nai lap thanh tich bao ve mot truemg (k; va ghi roho ten)

(KS ten clang chili)

Phu Inc 2c. BAO CAO THANII TICH THAM GIA XET TOG

GIAI TIlTING MO! TWANG VitT NAM (Danh cho cOng clang)

(Ban hanh kern theo Thong tu• so 62/2015/71-BTNMI ngay 16 thang 12 nam 2015 cita B6 truang B Tal nguyen va MOi trtrang)

CONG HOA XA HOI CHiJ NGIIIA VItT NAM DOc lap - Ty do - Haub phtle

BAO CAO THANH Tioi THAM GIA XET TANG (HAI THIJIONG MOI TRCONG VIVI' NAM

(Thai gian ta. fining ..... titan din lining niiin

-Ton cOng clang.

Da chi Goa °Ong clang.

H9 va ten nguesi dai din cOng deng•

Dien thoai• Far E-mail.

Linh vvc bao ve mei trudng !Tang k9 tham gia xet Giai thuarng• -

Ni dung bao ea° thank tich: Dac diern, tinh hinh hot dOng cUa Ong (long trong 02 nam (tinh den thai

diem dang k1 xet tang, (iidi thuemg):

Deng gdp dOi veyi sky nghiep bao V mei truang:

Tinh hieu qua ve kinh te,xA hOi:

Tinh dien hinh va anh huong d6i veri cOng ding.

5. Tinh sang tap-

Xác nhan caa Sd Tai nguyen va Mei twang nai cOng &mg lap thanh tich

(kY ten, clang ciciu)

TO chirc quan 11 trot tiep cOng dong hoac nguen dai din ceng deng

(fig; ten, clang dau)

•