ImPPPact Registration Form

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1 Contact Details

2 Bank Account Details

3 How did you hear about ImPPPact?

4 Roles and Services for Infrastructure Projects

5 Self-Description of the Qualifying Company

6 Financial Data of the Qualifying Company

Year Revenues (kEUR) Net Income after Taxes (kEUR) Total Assets and Liabilities (kEUR) Employees

7 Preferred Markets and Sectors in General

01 Transport & Logistics

02 Energy

03 Environment & Utilities

04 Information & Communication

05 Public Administration

06 Health

07 Education

08 Culture & Sports

09 Public Security

10 Tourism & Leisure

11 Other Facilities

12 Digital Transformation

8 Skill Levels

Skill Area New Beginner Intermediate Expert
UN Policy
Public Private Partnership
Learning Organization
International Project Development
Bid Management
Procurement Management
English
Internet & ICT
GIS & Geo-data
Infrastructure Finance
Sustainable Development Goals
Blockchain Technology

9 Which SDGs are supported by your products, services, and projects?

SDG Sustainable Development Goals No Impact Some Impact High Impact Describe Impact
1
No Poverty
2
Zero Hunger
3
Good Health and Well-being
4
Quality Education
5
Gender Equality
6
Clean Water and Sanitation
7
Affordable and Clean Energy
8
Decent Work and Economic Growth
9
Industry, Innovation and Infrastructure
10
Reduced Inequality
11
Sustainable Cities and Communities
12
Responsible Consumption and Production
13
Climate Action
14
Life Below Water
15
Life on Land
16
Peace, Justice and Strong Institutions
17
Partnerships for the Goals

10 Which companies are usually your cooperation partners and project sponsors?

10.1. Technical Advisors

Company Name Contact Person Phone Email Sponsor

10.2. Financial Advisors

Company Name Contact Person Phone Email Sponsor

10.3. Legal and Tax Advisors

Company Name Contact Person Phone Email Sponsor

10.4. Designer and Project Developer

Company Name Contact Person Phone Email Sponsor

10.5. General Contractor and Construction Company

Company Name Contact Person Phone Email Sponsor

10.6. Supplier

Company Name Contact Person Phone Email Sponsor

10.7. Investor and Bank/Financial Institution

Company Name Contact Person Phone Email Sponsor

10.8. Operator and Maintainer

Company Name Contact Person Phone Email Sponsor

10.9. Enduser and Customer

Company Name Contact Person Phone Email Sponsor

10.10. Public Body

Company Name Contact Person Phone Email Sponsor

11 Data Protection and Consent

Data Protection Notice

By submitting this form, you agree that your personal data will be processed by ImPPPact Global Alliance to handle your request and for project qualification. Your data will be treated confidentially and will not be disclosed to third parties unless required for project execution.

Your Rights:
  • Information about your stored data
  • Correction of incorrect data
  • Deletion of your data
  • Restriction of processing
  • Data portability
  • Objection to processing

Data Controller: privacy@impppact.org

12 Annemasse Declaration and Confirmation

Annemasse Declaration

We, representatives of Governments, International Organizations, Private Sector companies and Civil Society, declare our wish to support the UN Sustainable Development Goals through responsible Public-Private Partnerships.

Core commitments:

  • Support for the UN 2030 Agenda for Sustainable Development
  • Building sustainable and inclusive societies
  • Responsible private sector engagement in partnership with public authorities
  • Principles of good governance: efficiency, transparency, fairness
  • Closing the infrastructure gap through innovative PPPs

Next Steps

  1. Please download or print the completed form by pressing the "Print Form" button.
  2. Upload the saved PDF file to the ImPPPact Cloud by pressing the "Upload Files" button.
  3. Submit the online form by pressing the "Submit Form" button.
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