Library / PETROLEUM INDUSTRY ACT, NO. 6, 2021 MIDSTREAM AND DOWNSTREAM PETROLEUM PREVENTION OF ANTICOMPETITIVE PRACTICES AND BEHAVIOUR REGULATIONS, 2026 ARRANGEMENT OF REGULATIONS

PETROLEUM INDUSTRY ACT, NO. 6, 2021 MIDSTREAM AND DOWNSTREAM PETROLEUM PREVENTION OF ANTICOMPETITIVE PRACTICES AND BEHAVIOUR REGULATIONS, 2026 ARRANGEMENT OF REGULATIONS

Page 121 of 127

Open the PDF at page 121

121 
 
1. Name of Licensee/Operator: 
[Insert full legal name of company] 
2. Corporate Registration Number: 
[Insert RC number or business registration identifier] 
3. Address of Principal Office: 
[Insert office address, email, phone number] 
4. Designated Compliance Officer: 
o 
Name: 
o 
Title: 
o 
Email and Phone: 
o 
Date of Appointment: 
5. Reporting Period: 
[Insert calendar year (e.g., January 1 – December 31, 2025)] 
6. Business Segments Operated (Tick all applicable): 
☐ Natural Gas Processing 
☐ Gas Transportation 
☐ Gas Distribution 
☐ Petroleum Products Storage 
☐ Pipeline Transportation 
☐ Wholesale Marketing 
☐ Retail Sales 
☐ Import/Export 
☐ Others (specify): 
7. Licences Held (as at year-end): 
o 
Type of Licence(s): 
o 
Licence Number(s): 
o 
Issuing Date(s): 
8. Changes in Corporate Structure (if any during the year): 
☐ Merger 
☐ Acquisition 
☐ Divestiture 
☐ Entry/Exit of Business Segment 
☐ Others (describe): 
Provide description and effective dates: 
 
PART B: INTERNAL COMPLIANCE SYSTEMS 
9. Summary of Internal Compliance Measures Taken During the Reporting Year: