IMT-GT GREEN CITY AWARD
Official Application Form (2026 Cycle)
APPLICANT'S INFORMATION
Full Name
*
Enter the applicant’s full name
Designation / Position
*
Enter the applicant’s designation/position
Email Address
*
Enter the applicant’s official email address
Phone Number
Please enter a valid phone number with country code (e.g, +62, +60, +66)
Format: (000) 000-0000-0000.
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SECTION A — CITY OVERVIEW
Country
*
Please Select
Indonesia
Malaysia
Thailand
Province/State
*
City/Municipality
*
Area/Size (sq km)
*
Total Population
*
Most recent data for the total of population
Year of Census
*
SECTION B — AWARD CATEGORY
Select only one per application
Award Category
*
Please Select
Transport
Solid Waste Management
Biodiversity
Circular Economy
Carbon Literacy
Energy
Education for Sustainable Development (ESD)
SECTION C — INITIATIVE SUMMARY
Please provide information about the submitted information
Name of the Initiative
*
The initiative can also refer to your best practices or study case
Start Year
*
Provide the year the initiative started
Summary of the Initiative (max. 300 words)
*
Summarize the initiative, highlighting its alignment with the city’s strategy and goals, planned actions, and relevant indicators for implementing the IMT-GT SUDF 2019–2036.
Upload Full Report/Document
*
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SECTION D — TECHNICAL INDICATOR SELF-ASSESSMENT
Cities must select their progress level (Bronze, Silver, or Gold), briefly describe their evidence, and upload supporting documents
Select your City progress level
*
Please Select
Bronze: Planning, Early-stage Actions
Silver: Implementation with Measurable Progress
Gold: Strong Performance, Advanced Results
Briefly describe the evidence you will upload
*
Example: "LED streetlight conversion report", "City Composting Facility photos", "GHG Inventory 2023"
Upload your evidence files
*
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SECTION E — CORE CRITERIA NARRATIVES
This is the most important part of your application. Please describe your initiative based on the five (5) core criteria. The independent jury will score your initiative on the quality of your answers.
Impacts (max. 400 words)
*
What are the measurable achievements and tangible outcomes of your initiative? Please describe how the initiative has contributed to urban sustainability (e.g. environment, economy, quality of life, resilience). Please include relevant indicators, targets and baseline data, such as emissions reduced, energy savings, length of bike lanes, % of population served, community benefits.
Evidence of Impact
*
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Sustainability (max. 300 words)
*
How is this initiative sustained over the long term? Please explain how it is embedded in city policies, plans, budgets, and institutions to ensure continuity beyond the project period.
Evidence of Sustainability
*
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Innovation (max. 300 words)
*
What is new or innovative about your approach? Please describe any innovative technologies, policies, financing models, partnerships or planning approaches used
Evidence of Innovation
*
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Scalability & Replicability (max. 300 words)
*
How can this initiative be scaled up or replicated by other cities? Please describe its potential for expansion within your city or adoption by other IMT-GT cities, including key lessons learned.
Evidence of Scalability & Replicability
*
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Governance & Participation (max. 300 words)
*
Who was involved in this initiative and how? Please describe stakeholder involvement, including government, private sector, civil society, and community participation in planning and implementation.
Evidence of Governance & Participation
*
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DECLARATION
I hereby declare that all information provided in this application is true, accurate, and supported by appropriate verifiable evidence.
I confirm that the submission has been completed honestly and to the best of my knowledge.
I understand that CIMT may request additional information or supporting documentation for evaluation purposes.
Signature
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