MDPPACPB Regulations

Page 124 of 127
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Chief Executive Officer or Equivalent Senior Officer Certification 
I, the undersigned, hereby certify that the information contained in this Competition 
Compliance Report is true, accurate, and complete to the best of my knowledge, and 
prepared in good faith. I acknowledge that any false or misleading statement herein may 
result in regulatory penalties, including revocation of licence or legal proceedings under the 
Petroleum Industry Act and applicable competition law. 
Name: ___________________________ 
Position: _________________________ 
Signature: ________________________ 
Date: ____________________________ 
 
CONFIDENTIALITY AND SUBMISSION NOTES 
• 
All data submitted will be treated as confidential, in accordance with Regulation [XX] 
of these Regulations. 
• 
Aggregated industry statistics (e.g., number of access denials, types of complaints) 
may be published by the Authority in non-identifiable form. 
• 
Submit completed report in both electronic and hard copy to: 
Authority Chief Executive,  
Nigerian Midstream and Downstream Petroleum Regulatory Authority (NMDPRA) 
[Insert Official Submission Address and Portal Link] 
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SCHEDULE 7 
Regulation 118(1) 
 
FORM FOR NOTICE OF APPEAL (To be submitted Pursuant to Regulation 118(1) 
under Part XX of these Regulations) 
 
 
A. Appellant Details 
    1.    Name of Appellant (Company or Individual): 
    2.    License Number (if applicable): 
    3.    Address for Service: 
    4.    Telephone Number(s): 
    5.    Email Address: 
    6.    Authorized Representative (if any): 
  • Name: 
  • Designation/Firm: 
  • Contact Details: 
 
B. Decision Being Appealed