Promoting Clean Urban Public Transportation and Green Investment in Moldova

Annex C. Example of a project application form

Bus/minibus/trolleybus replacement

Project Name
Name of the project applicant
Address
Contact details
Legal status
Bank account number, bank, branch and address
Location of the project (city)
Description of the project:
Number of buses used for regular services in the city
Number of minibuses used for regular services in the city
Number of bus lines operated by the company in the city
Number of minibus lines operated by the company in the city
Planned bus replacement	Buses that will be replaced		New buses
	Older than 15 years	10 to 15 years old	CNG	LPG	Diesel
Number of buses (#)
Costs (MDL  1 000)	X	X
Total costs (MDL 1 000)	X	X
Planned minibus replacement	Buses that will be replaced		New buses
	Older than 15 years	10 to 15 years old	CNG	LPG	Diesel
Number of minibuses (#)
Costs (MDL  1 000)	X	X
Total costs (MDL 1 000)	X	X
Planned trolleybus replacement
Number of trolleybuses (#)
Costs (MDL  1 000)
If CNG buses are proposed: Does a CNG filling station exist in the city?