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CONTRACTOR/LICENSEE REGISTRATION
Company Information
First Representative
Second Representative
Submission Date
field type date
Submission Month
field type number
Submission Year
field type number
Company TIN No
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
TIN CONTROL
field type number
Complete Registration Link
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Registration ID
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
MDS Registration File Link
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
UPS Registration File Link
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Reg Validation Code
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Registration Category
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
CQS Registration Num
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Warning !
field type multi line
You can not register with same TIN twice.
Submit Registration Message
field type multi line
Thank you for filling out CQS registration form. You have completed the registration process. Your registration form has been submitted for approval. You will be notified after the approval process.
field type single line
field type single line
field type single line
field type single line
field type single line
field type single line
field type single line
field type single line
field type single line
field type single line
field type single line
field type single line
row 1
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Company Information
section
Registration Category
*
field type drop-down
Company TIN Number
*
field type single line
row 1
Registration Category
*
field type drop-down
IOC
Licensee
National Oil Company
Company TIN Number
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Company Legal Name
*
field type single line
row 1
Company Legal Name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Company Phone number
*
field type single line
Alternative Phone number
*
field type single line
row 1
Company Phone number
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Alternative Phone number
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Email Address
*
field type email
row 1
Email Address
*
field type email
Add
Region
*
field type drop-down
District
*
field type drop-down
Street
*
field type single line
row 1
Region
*
field type drop-down
District
*
field type drop-down
Street
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Physical Address
*
field type multi line
row 1
Physical Address
*
field type multi line
Add
Petroleum/Natural Gas Operations
Scope/Description of operation
*
field type drop-down
Facility Location
*
field type multi line
Row 1
×
Scope/Description of operation
*
field type drop-down
Gas and Petroleum Exploration
Petroleum Wholesale Business
Natural Gas Processing
Natural Gas Transmission
Natural Gas Distribution
CNG Operations
Facility Location
*
field type multi line
×
+ Add Facility
Supporting Documents
Document Description
*
field type single line
Attachment
*
field type file upload
Add
First Representative
section
First name
*
field type single line
Middle name
*
field type single line
Surname
*
field type single line
row 1
First name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Middle name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Surname
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Representative Position
*
field type single line
row 1
Representative Position
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Phone number
*
field type single line
Email Address
*
field type email
row 1
Phone number
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email Address
*
field type email
Add
Representative ID
field type radio button
ID Number
field type single line
Nation ID
*
field type file upload
Employee's ID
*
field type file upload
Representative ID
field type radio button
Representative ID
Employee's ID
National ID
ID Number
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Nation ID
*
field type file upload
Drop files here
Employee's ID
*
field type file upload
Drop files here
Add
Second Representative
section
First name
*
field type single line
Middle name
*
field type single line
Surname
*
field type single line
row 1
First name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Middle name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Surname
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Representative Position
*
field type single line
row 1
Representative Position
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Add
Phone number
*
field type single line
Email Address
*
field type email
row 1
Phone number
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email Address
*
field type email
Add
Representative ID
field type radio button
ID Number
field type single line
Nation ID
*
field type file upload
Employee's ID
*
field type file upload
Representative ID
field type radio button
Representative ID
Employee's ID
National ID
ID Number
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Nation ID
*
field type file upload
Drop files here
Employee's ID
*
field type file upload
Drop files here
Add
Confirmation
Confirmation
*
field type checkbox
Confirmation
*
field type checkbox
Confirmation
I understand and acknowledge that by checking this box, I legally confirm that the information provided herein is accurate, correct and complete and that the documents submitted along with this application form are genuine.
Add
Registration Submission
section
Select where you want to submit your registration
*
field type radio button
Select where you want to submit your registration
*
field type radio button
Select where you want to submit your registration
Upstream (PURA)
Mid-Downstream (EWURA)
Both PURA & EWURA
Add
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