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GUIDELINES BUNKERING OPERATIONS IN NIGERIA Department of Petroleum Resources 2016

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APPENDIX I 
 
DEPARTMENT OF PETROLEUM RESOURCES 
 
BUNKER FUEL TRADE APPLICATION AND 
ACCREDITATION FORM 
 
1. 
Name of Company………………………………………………………… 
 
2. 
EVIDENCE OF REGISTRATION IN NIGERIA 
(A) 
Certificate of Incorporation (attach copy) 
 
(i) 
Number:………………………….……..…..Date:………………..… 
 
(ii) 
Authorized Share Capital:…………………………………….………… 
 
(iii) Paid-Up Share Capital:…………………………………..…………… 
 
(B) 
Certified true copy of Memorandum and Articles of 
Association (Attach copy) 
 
Names of Directors and their respective Share Holding: 
DIRECTORS 
SHARE (%) 
 
 
 
 
 
 
 
 
 
 
3. 
Address for Correspondence in Nigeria:……………… 
 
 
…………………………………………………………..………….…… 
 
 
Email Address…………………………………………………….. 
 
 
Telephone Number………………………………………………  
 
4. 
Name/Address of Subsidiary or Affiliate:………………………… 
 
5. Name of contact person & phone No.………………………. 
(Company to promptly inform the DPR any change in name / 
information of the contact person)