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

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7. Address or Known Contact: ______________________________________ 
8. Sector/Segment Involved: _______________________________________ 
Section C: Description of Alleged Conduct 
9. Detailed description of the alleged anti-competitive conduct: 
   ____________________________________________________________ 
   ____________________________________________________________ 
   Include dates, locations, relevant transactions or contracts involved. 
Section D: Legal and Regulatory Breach 
10. Identify the provision(s) of the Competition Regulation or PIA allegedly 
breached: 
   ____________________________________________________________ 
Section E: Supporting Evidence 
11. List and attach any supporting documentation or evidence: 
   ☐ Emails   ☐ Contracts   ☐ Price Lists   ☐ Market Reports   ☐ Other: ___________ 
Section F: Confidentiality and Whistleblower Declaration 
12. Do you wish to remain anonymous? 
   ☐ Yes   ☐ No 
13. Do you request confidential treatment of any submitted documents? 
   ☐ Yes   ☐ No — If yes, specify documents and reasons: 
   ____________________________________________________________ 
Section G: Declaration 
I declare that the information provided above is true and correct to the best 
of my knowledge. 
Signature: ________________________     Date: ______________________ 
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SCHEDULE 3 
Regulation 100 
 
SCHEDULE ON PENALTIES TABLE ON ANTI-COMPETITIVE CONDUCT. (To be used 
for Regulation 100 under Part XVII of these Regulations)