Application Form for Certified Green Productivity Specialist

Step 1 of 6 - Step 1

Application Form for Certified Green Productivity Specialist

Please complete all fields and where sections are not applicable, please indicate “N.A.”.

All For Official Use supporting documents, and cheque of for application and assessment fees must be submitted together with your application.
Incomplete application shall not be processed.

Please contact the FTPI-PC at email: certification@ftpi.or.th should you have any enquiries.
Type of Certification*
- GPS Green Productivity Specialist
- GPM Green Productivity Master
Attach Recent Photograph (1MB)*
Accepted file types: jpg, jpeg, png, gif.
Please attach a recent passport-sized photograph
Applicant Personal Particulars
Nationality*
Name*
Prefix First Middle Last
Prefix (Other)*
ชื่อ (ภาษาไทย)*
คำนำหน้า ชื่อ ชื่อกลาง (ถ้ามี) นามสกุล
คำนำหน้า (อื่นๆ)*
Gender*
Date of birth*
Date Format: DD slash MM slash YYYY
ID No (For Thai nationality)*
Passport Number
Correspond address*
Street Address City State / Province / Region ZIP / Postal Code Country
ที่อยู่ที่ติดต่อได้*
บ้านเลขที่ เขต/อำเภอ จังหวัด รหัสไปรษณีย์
Mobile phone*
Home phone
Business phone
Email*
Employment Background
(List more recent employment first)
Employment Background*
Name of company Position Period (YYYY)
From To
Upload File PDF, JPG (25MB)*
Accepted file types: jpg, jpeg, png, pdf.
Please attach your Curriculum Vitae.
Educational & Academic Background
(List most recent qualification first)
Educational & Academic Background*
Major field of study Education level attained Name of educational institution Period (YYYY)
From To
Upload File PDF, JPG (25MB)*
Accepted file types: jpg, jpeg, png, pdf.
Please attach your Curriculum Vitae.
Professional Certification
Educational & Academic Background*
Name of organization / Certification body Certification Year joined (YYYY) Validity (MMM/YYYY)
From Till
Upload File PDF, JPG (25MB)*
Accepted file types: jpg, jpeg, png, pdf.
Please attach your Curriculum Vitae.

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Green Productivity Projects Hours
Green Productivity Projects Hours*
Client company / Title of assignment Contact person: telephone/email Duration of assignment Team size Hours spend by team Your role in team Hours spend by yourself

Total Projects Hours (minimum of 360 hours in the last 12 months)

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Applicant’s Green Productivity Improvement Assignment (1)
DESCRIPTION OF ASSIGNMENT (Selected green productivity improvement project assignment undertaken).
You are required to submit at least ONE Green Productivity Project Assignment undertaken.
Client company*
Title project*
Project period*
Contact person*
Title/Position*
Email address*
Phone*
Team size*
Hours spend by team*
Your project roles*
Hours spend by you*
Type of project*
- Consultancy
- Training
- Research
- Promotion
Major Problems encounter*
0 of 2500 max characters
Problem resolution*
0 of 2500 max characters
Impact to client*
0 of 2500 max characters
Additional information (if any)
0 of 2500 max characters
Attach Project Report Files (25MB)
Note: Report standard referred to APO-GPS 201, Annex D. Please bring along actual project documents (project reports, slides, etc.) for verification during interview.
Other Project
- No
- Yes

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Applicant’s Green Productivity Improvement Project (2)
Client company*
Title project*
Project period*
Contact person*
Title/Position*
Email address*
Phone*
Team size*
Hours spend by team*
Your project roles*
Hours spend by you*
Type of project*
- Consultancy
- Training
- Research
- Promotion
Major Problems encounter*
0 of 2500 max characters
Problem resolution*
0 of 2500 max characters
Impact to client*
0 of 2500 max characters
Additional information (if any)
0 of 2500 max characters
Attach Project Report Files (25MB)
Note: Report standard referred to APO-GPS 201, Annex D. Please bring along actual project documents (project reports, slides, etc.) for verification during interview.

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One positive client testimonial
(testimonial shall be for project undertaken in the last 24 months)
File Upload (25MB)
Applicant Declaration
I declare that:
1. The information provided for the certification of Green Productivity Specialist and accompanying information supporting documents are true and correct to the best of my knowledge and that I have not withheld/distorted any material facts.
2. I am not an undischarged bankrupt and I have never been charged or convicted in any Court of Law or detained under the provisions of any written law.
3. I am not presently, nor have I been within the past three years, the subject of any civil legal action directly relating to my management consulting/audit/training practice.
4. I am not presently, nor have I been within the past three years, the subject of any client’s complaint legally filed with a past project works.
5. I am not presently, nor have I been within the past three years, the subject of any disciplinary action by an any professional association.
6. I have not been debarred from any government schemes/programs, etc. I acknowledge and agree that the FTPI-PC reserves the right to ascertain the applicant’s claims with relevant parties (e.g. government agencies, associations, client contacts, etc.)
7. I am agreeable that the FTPI-PC has the right to verify and obtain information with all parties as they think fit, with regards to the information and supporting documents provided by me in this application.
8. I hereby agree that FTPI-PC may collect, obtain and retain my personal/business data for administration of my application and use (via phone call, notices, emails or mail) to inform me of future events, updates, news and materials related to FTPI-PC.
Upon being certified as a Registered Productivity Specialist:
1. I shall abide by the FTPI-PC Code of Professional Conduct and will be subjected to any disciplinary actions by FTPI-PC if I breach the conditions stated in the Code of Professional Conduct.
2. I shall inform FTPI-PC, without delay, on matters that can affect the capability of myself to continue to fulfil the certification requirements.
If applicable only:
1. If you have any special requests to be accommodated by the FTPI-PC to be a Certified Green Productivity Specialist, please provide details (with reasons) as follows. Otherwise, please indicate “N.A.”.
Privacy Policy*
- ผู้สมัครได้อ่านและทำความเข้าใจเกี่ยวกับนโยบายคุ้มครองข้อมูลส่วนบุคคลของสถาบันเพิ่มผลผลิตแห่งชาติ ภายใต้โครงการองค์การเพิ่มผลผลิตแห่งเอเชีย เป็นที่เรียบร้อยแล้ว
  I have read and agree to the Thailand Productivity Institute's Privacy Policy for completing Asian Productivity Organization (APO) projects
ทั้งนี้ ผู้สมัครสามารถศึกษาข้อมูลเพิ่มเติมได้ที่ Privacy Policy
Special Requests/ Needs
Signature Type*
- Write
- Upload
Signature*
Signature File*
Accepted file types: jpg, jpeg, png, gif.
Signature*

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Step 1 of 6 - Step 1

Applicant Personal Particulars

Employment Background

Educational & Academic Background

Professional Certification

Applicant’s Area of Industry Experiences

APPLICANT’S AREA OF PRODUCTIVITY EXPERTISE (Check where applicable)

Applicant’s services

Green Productivity Projects Hours

Applicant’s Green Productivity Improvement Assignment (1)

Applicant’s Green Productivity Improvement Project (2)

One positive client testimonial

Applicant Declaration

Name of company	Position	Period (YYYY)
Name of company	Position	From	To

Major field of study	Education level attained	Name of educational institution	Period (YYYY)
Major field of study	Education level attained	Name of educational institution	From	To

Name of organization / Certification body	Certification	Year joined (YYYY)	Validity (MMM/YYYY)
Name of organization / Certification body	Certification	Year joined (YYYY)	From	Till

Client company / Title of assignment	Contact person: telephone/email	Duration of assignment	Team size	Hours spend by team	Your role in team	Hours spend by yourself