PPM Online Form

On whose behalf you are filling this submission? *:

Please input a name.

Please input an email address.

Contact number *: Please include country code, area code and telephone number.

Mobile

Landline

Please input a phone number.

Postal address: Please include country and postcode.

Line 1 (Unit Number):

Line 2 (Street Name):

Please select a member

Please input a name.

Please input an email address.

Contact number *: Please include country code, area code and telephone number.

Mobile

Landline

Please include country code, area code and telephone number.

Postal address: Please include country and postcode.

Line 1 (Unit Number):

Line 2 (Street Name):

Please select a member

NOTE:

If there are more requestors who wish to submit complaint with you, please submit new form for additional requestors.

Authorized Representative Information (If Applicable):

Representative 1 Information:

Names *:

Please input a name.

Name of the Organization *:

Please input an organization.

Website / Facebook Page:

Please input a website or Facebook Page

Email *:

Please input an email address

Contact number *: Please include country code, area code and telephone number.

Mobile

Landline

Please input a phone number

Postal address: Please include country and postcode.

Line 1 (Unit Number):

Line 2 (Street Name):

City / District:

Province / State:

Member:

Please select a member

Postcode:

Proof of Authorization *: Please attach a letter or other forms of documents which could prove that you have been authorized by the requestor to file this submission on their behalf.

Please upload a file

Size:

Add another Authorized Representative? *:

Yes

Representative 2 Information:

Names *:

Please input a name

Name of the Organization *:

Please input an organization.

Website / Facebook Page:

Please input a website or Facebook Page

Email *:

Please input an email address

Contact number *: Please include country code, area code and telephone number.

Mobile

Landline

Please input a phone number

Postal address: Please include country and postcode.

Line 1 (Unit Number):

Line 2 (Street Name):

City / District:

Province / State:

Member:

Please select a member

Postcode:

Proof of Authorization *: Please attach a letter or other forms of documents which could prove that you have been authorized by the requestor to file this submission on their behalf.

Please upload a file

Size:

Do you want to request for confidentiality of:

Requestor information

Authorized representative information

I don’t want to request for confidentiality

If you are requesting for confidentiality, please provide reasons:

Do you fear risk of retaliation from anyone for sharing your concerns with PPM?:

Please describe who is likely to retaliate against you and why *:

Name or description of AIIB Project (If you don’t know the Project name, you can include details like the name of the agency or company in charge of the Project, its location, or the activities it is involved in that are affecting you) *:

Please input the name of the AIIB project

LIST OF APPROVED PROJECTS

LIST OF PROPOSED PROJECTS

Please select a member

Region where the Project is located *:

Do you live in the Project area? *:

Are you directly and materially affected by the Project? *:

What is your key grievance? *: Please provide detailed information about your grievance/issues/concerns. Describe how you have been or are likely to be harmed by social or environmental impacts of the Project. Please provide details.

Please input your key grievance

Please upload if you wish to provide any supportive documents:

Please list the policy requirements you believe AIIB has not met on this project, if you are familiar with the Environmental and Social Framework.:

Have you made similar submissions to any other organizations?:

If Yes, which organizations? *:

NOTE:

Please note that PPM is the mechanism of last resort. Before making a submission to PPM, you are required to make good-faith efforts to raise your grievances with the Project-level Grievance Redress Mechanism (GRM) or contact AIIB Management to resolve your concerns.

Have you already contacted the Project-level Grievance Redress Mechanism to resolve your issue? *:

When was the last time you contacted the Project-level GRM?:

Can you share any document, email or any other form of communication with the Project-level GRM:

Were your issues resolved? *:

Yes

Not Applicable

If you received any response from the Project-level GRM, what was the response?:

Have you already contacted AIIB Management (a member of AIIB Project Team or anyone else in AIIB) to resolve your issue? *:

When was the last time you contacted AIIB Management:

Can you share any document, email or any other form of communication with the AIIB Management: (Accepted Formats: ZIP. Size: Up to 10MB.)

Were your issues resolved? *:

Yes

Not Applicable

If you received any response from AIIB Management, what was the response?:

Under which PPM function you would prefer your submission to be processed? *:

Project Processing Query (PPQ)

Dispute Resolution (DR)

Compliance Review (CR)

I don’t know / I don’t have a preference

Are the issues you are raising in your submission currently under arbitral or judicial review in your country? *:

Yes

Don’t know

How would you like us to acknowledge your submission? *:

Letter

Other options

How would you wish us to contact you? *:

Mobile

Landline

Other options

Is there any other information that you would like to provide:

Verification Code *:

Please input a correct verification code

NOTE:

Are you sure you wish to proceed with your submission? After you press “submit”, you will not be allowed to make any changes.

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