activities carried out by the applicant in proceeding three years:
IMPACT OF THE PROPOSED PRODUCTION AND DEVELOPMENTACTIVITIES Economic: Social: Recreational life: Environment: Cultural: PROPOSED METHODS TO PROTECT THE ENVIROMENT
NATIONAL CONTENT PROPOSALS Proposals with respect to the employment and training of Ugandan citizens and use of Ugandan Companies:
Proposal for procurement of goods and services locally available in Uganda and provided by Ugandan Companies:
AUTHORISED SIGNATORY OF THE APPLICANT
Signature of applicant……………… Date:
Date: Signature of co-applicant, if for joint application……
FOR OFFICIAL USE ONLY Decision on Application(granted or denied) Date:
FORM 11 Regulation 25 (1)
THE PETROLEUM(EXPLORATION,DEVELOPMENT AND PRODUCTION) REGULATIONS, 2016 APPLICATION FOR A FACILITY LICENCE APPLICANT INFORMATION Name of the applicant:
Nationality of applicant:
Legal status of the applicant (natural person or body corporate):
Names and nationality of directors/ shareholders with more five percent of the issued share capital (in case of a body corporate): Name and place of incorporation of the body corporate: Name and address of authorised representative or agent of the applicant in Uganda: Current address: City: Country: Email: Fax: Website: Work phone: Mobile phone: Date of the application: INFORMATION ABOUT THE FACILITY APPLIED FOR Justification of the project:
Description of the proposed facility to be constructed or operated (designs, diagrams, feedstock and utilities): List of process technologies and associated licensors: Planned production or operation schedule: Maintenance plan and schedule: Configurations and capacities including utilities: Proposed standardisation and quality mechanism: Specifications of the petroleum to be processed, transported or stored by the facility: Proposed feed stock supply: FINANCIAL CAPACITY OF THE APPLICANT Audited books of accounts for the past three years:
Detailed statement of financial resources available to the applicant to undertake the business under the license:
TECHNICAL CAPACITY OF THE APPLICANT
Technical competence and experience of the applicant:
TIMING AND DURATION Planned time of commencement and completion of the project: Start Date: End Date:
IMPACT OF THE PROPOSED FACILITY Economic:
Social: Recreational life: Environment: Cultural:
PROPOSED METHODS TO PROTECT THE ENVIROMENT
Results of assessments, including EIAs, studies or audits carried out and reports of those assessments:
Safe measures to be adopted in the course of the operations including measures to deal with emergencies:
Decommission plan: NATIONAL CONTENT PROPOSALS
Proposals with respect to the employment and training of Ugandan citizens and use of Ugandan companies:
Proposals for the procurement of goods and services obtainable in Uganda and provided by Ugandan Companies:
Preliminary Organisational Plan:
CONSENTS AND PERMITS REQUIRED
EVIDENCE OF PAYMENT OF PRESCRIBED FEES
ANY OTHER REVELANT INFORMATION
AUTHORISED SIGNATORY OF THE APPLICANT Signature of applicant: Date:
Signature of co-applicant, if joint application: Date:
FOR OFFICIAL USE ONLY Decision on Application(granted or denied): Date:
FORM 12 Regulations 59 (2), 136 (7), 138 (4), 139 (3), 154 (2) and 158 (4).
THE PETROLEUM (EXPLORATION, DEVELOPMENT AND PRODUCTION) REGULATIONS, 2016 REPORTING FILE FOR WELL DATA, NAMING AND FORMATING
DATE FOR QUAN- REPORT FORMAT/ SUBMISSION DESCRIPTION DATA REQUIRED TITY TYPE* MEDIA (Prior to or by)
Field and processed digital data
All raw well-log data recorded from all data acquisition passes Edited field acquired by MWD data and LIS, DLIS, or LWD methods processed LAS CD- and/or associated one 3 months after data for all Documentary ROM/DVD or surface systems. copy completion of the wireline logs, portable hard It should include well MWD or drive all data curves as LWD tools. delivered to the 1 oil company by the acquisition contractor.
All raw well-log LIS, DLIS, data recorded from Raw Well LAS CD- Within 24 hours all data acquisition one Logs - Wireline Documentary ROM/DVD or upon acquisition passes in both open copy (EWL) portable hard of data and cased hole drive sections acquired by wireline methods. The data shall include full header-it should include horizontal and vertical planes of trajectory and Well path displacement (Directional LIS, DLIS, information-Mixed information A S C I I , Raw and Calculated of the well) LAS, XLS 3 months after data in a single file. Edited field one 2 Documentary CD-ROM/ completion of the Original survey and processed copy DVD or well measurements data for portable hard (azimuth and b o r e h o l e drive deviation) and deviation computed welltrack surveys. (coordinates departures, and dogleg) sampled at original survey depths only.
All OUTPUT curves for petrophysical interpretations DLIS (LAS, for all reservoir Petrophysical LIS), ASCII, and other zones 3 months after Interpretation One CD-ROM/ of interest and the 3 Documentary completion of the Computation Copy DVD or data, consistent with well Output portable hard the interpretation drive presented in the final well report. page at a readable scale
All mud, lithology description and TIF, PDF hydrocarbon F i n a l CD-ROM/ 3 months after One detection and 4 Composite Documentary DVD or completion of the Copy drilling-dynamics Mudlog portable hard well data vs depth drive delivered to the well operator.
Information Should Well bore include details of S e i s m i c ( processing methods, Ve l o c i t y all "Standard" s u r v e y s ) processed VSP plots -raw data may be reported as DLIS, SEG-Y -processed( complete log plot A S C I I w e l l b o r e in digital form and (Checkshot s e i s m i c 3 months after the well seismic one d a t a ) 5 information, Documentary completion of the report should contain Copy CD-ROM/ w e l l b o r e well a report on the DVD or seismic plot wellbore seismic portable hard and wellbore measurement and drive seismic report processing suite at information) end of the wellbore -checkshot seismic operations. and time/depth To include analysis verification header file.
Provide minimum 300 DPI image in 24-bit colour. High- r e s o l u t i o n Core, side wall images able to be core natural magnified (zoom in) JPEG, PNG l i g h t without pixilation. If or TIF photography 3 months after not in specified one CD-ROM/ 6 - UV Documentary completion of the format, a Copy DVD or light to be well reader program portable hard done in to be provided. drive fluorescent These are requested sections separately to images included in other reports so that original quality can be preserved.
All Measured well Well Test test data: may Data- this can include DST flow LIS, DLIS, be separated data per wellbore, ASCII, as: Well Test DST rate data per one LAS, PDF,TIF 3 months after Gauge data, Documentary, test per wellbore, 7 copy CD-ROM/ completion of Well Test Data Derivative DST pressure data each DVD or the well Plots, Well per test/gauge per portable hard Test Program, wellbore. Plot of drive and Well Test Well Test Data, Well Report test measurements for the wellbore
All raw biostratigraphical TIF, PDF data, such as CD-ROM/ 3 months after palynological, Biostrati- one Documentary, 8 DVD or completion of paleontological, graphical data copy Derivative portable hard activity palynological and drive paleontological raw data, range charts, etc.
The raw set of build-up hydrostatic pressure DLIS,(ASCII, measurements from LAS, LIS) Within 24 hours formation pressure Raw Formation one Documentary, CD-ROM/ upon acquisition testing. Detailed raw Pressure copy Derivative DVD or of data measurements as portable hard a function of time drive at each test depth. Includes sampling and pretesting.
A set of formation 9 and wellbore hydrostatic pressures from formation pressure testing (final values from build-up DLIS,(ASCII, tests). mobilities, LAS, LIS) temperatures, Computed 3 months after one Documentary, CD-ROM/ and test quality Formation completion of copy Derivative DVD or flags should be Pressure the well portable hard included in the set. drive The operator's interpreted formation and hydrostatic pressure before/ after the test are included for all tests attempted.
Reports and images ( Digital format & hardcopy)
This document is the operator's official summary report for a completed well. W e l l A well completion Completion log should include Final Report primary log curves, separated into: formation tops, PDF(ASC), - W e l l cored intervals, TIF (PDF, completion 3 months after test intervals etc. C G M ) F i n a l o n e Documentary completion Security free basic 10 CD-ROM/ report, Well copy Derivative of the well and interpretive DVD or completion volumes must be portable hard final log plot separated; image drive and Well files and logs completion included in reports final log plot must be submitted information. as separate JPEG, PNG or TIF files. Interpretive volume to include composite well log.
All OUTPUT curves for petrophysical interpretations PDS, META, for all reservoir PDF and other zones Petrophysical 3 months after One CD-ROM/ of interest and the 11 Interpretation Documentary completion of Copy DVD or data, consistent with (same as 18) the well portable hard the interpretation drive presented in the final well report. page at a readable scale
All 'standard' mud log plots should TIF, be reported as a CD-ROM/ 3 months after One digital log plot vs Mud log plot Documentary DVD or completion of Copy depth, scale 1:500 portable hard the well or 1:1000. A cuttings drive description should be 12 included. This document PDF contains a report on CD-ROM/ 3 months after the drilling dynamics One Mud log Report Documentary DVD or completion of and mud log Copy portable hard the well measurement suite drive at end of drilling operations. PDF Well index CD-ROM/ 12 months after sheet Example to be 13 DVD or completion of (Not provided. portable hard the well understood) drive
As a tab delimited Geochemical ASCII, XLS, ASCII file with data, PDF, JPEG, m e t a d a t a other sample TIF, PNG 6 months after included-it should One analyses- Documentary CD-ROM/ completion of the contain: samples Copy Analysis DVD or well or activity Identification, Laboratory portable hard used Techniques, Reports drive interpretation of results Conclusions
All Organic PDF(ASC), geochemical data Organic TIF (PDF, collected, selected 14 Chemistry CGM) 6 months after Organic geochemical One -Organic Documentary CD-ROM/ completion of the data analysis and the Copy Chemistry DVD or well or activity report shall contain Report portable hard a report on organic drive geochemical analysis or study
PDF(ASC), This document TIF (PDF, contains a report Fluid Analysis CGM) 6 months after on the fluid study Report-PVT One Documentary CD-ROM/ completion of or analysis and the Analysis copy DVD or the well PVT-Analysis report Reports portable hard shall contain a report drive on a PVT analysis.
Measurements made in a given well/ wellbore- primary measurements may DLIS, LIS, be composed of data ASCII, ,PDF, taken from different JPEG, TIF, 3 months after Composite well one physical tools(e.g. CD-ROM/ completion of log copy Derivative a combination of DVD or the well wire line and MWD portable hard measurements), drive information on edits, depth shifts splice points or any other 15 data manipulations
Data that are not part of composited or interpretation input data sets: additional c o m p o s i t e d Petrophysical One DLIS(LAS, resistivity, composite Copy Derivative LIS) composited data at high sample rates for thin bed analysis, other presentation curves than in the standard composite.
Information Should include details of processing methods, all "Standard" processed VSP plots may be reported as complete log plot TIF, JPEG in digital form and CD-ROM/ 3 months after the well seismic One 16 VSP report Documentary DVD or completion of report should contain Copy portable hard the well a report on the drive wellbore seismic measurement and processing suite at end of the wellbore seismic operations. To include verification header file.
Plot of raw biostratigraphical TIF data, such as Biostrati- CD-ROM/ 3 months after palynological, one Documentary, graphical Data DVD or completion of paleontological, copy Derivative Plot portable hard the well palynological and drive paleontological raw 17 data, range charts, etc.
Report of computed PDF biostratigraphical Biostrati- CD-ROM/ 3 months after one Documentary, data, such as graphical Data DVD or completion of copy Derivative palynological and Report portable hard the well paleontological data, drive range charts, etc.
An appropriately Petrophysical TIF scaled graphical Interpretation CD-ROM/ 3 months after depth plot (so-called one Documentary, Computation DVD or completion of CPI plot) of the final copy Derivative or CPI Plot portable hard the well interpreted (often Information drive including key input) curves. This document contains a report on the Petrophysical Interpretation for the 18 wellbore All OUTPUT curves PDF for petrophysical Petrophysical CD-ROM/ 3 months after one interpretations Interpretation Documentary, DVD or completion of copy for all reservoir Report portable hard the well zones and the data, drive consistent with the interpretation presented in the final well report. page at a readable scale
An appropriately TIF scaled graphical plot Raw Formation CD-ROM/ Within 24 hours one Documentary, of the raw pressure Pressure Plot DVD or upon acquisition copy Derivative data measurements Information portable hard of data as a function of time drive at each test depth. 19 This document PDF contains a CD-ROM/ 3 months after report on the Formation one Documentary, DVD or completion of formation pressure Pressure Report copy Derivative portable hard the well measurements and drive Interpretation for the wellbore. PDF This document Time-Depth- CD-ROM/ 3 months after contains a report on one Documentary, Velocity Report DVD or completion of the wellbore velocity copy Derivative (same as 16) portable hard activity survey and related drive calculations.
20 This document PDF contains a report on Wellbore CD-ROM/ 3 months after the wellbore seismic one Documentary, Seismic Report DVD or completion of measurement and copy Derivative (same as 16) portable hard activity processing suite drive at end of wellbore seismic operations.
This document Wellpath PDF contains a Report on (Deviation CD-ROM/ 3 months after the final (Definitive) one Documentary, 21 Survey/ DVD or completion of Original Survey copy Derivative computed) portable hard the well and computed Report drive (interpolated) wellpath data. PDF This document Drilling CD-ROM/ contains the drilling Programme one Documentary, DVD or programme for the (not required copy portable hard wellbore proposed to here) drive the authorities. PDF This document CD-ROM/ 3 months after Cementing one contains the report Documentary, DVD or completion of Report copy of one of more well portable hard the well cementing jobs drive 22 PDF This document CD-ROM/ 3 months after Drilling Fluids one contains Drilling Documentary, DVD or completion of Report copy Fluids summary and portable hard the well properties. drive PDF This document is an CD-ROM/ 3 months after End of Well report End of Well one Documentary, DVD or completion of on some aspect of the Drilling Report copy portable hard the well drilling operations in drive the well. Computed Well This document PDF Log Report contains a report CD-ROM/ 3 months after - Wireline one on the wireline log 23 Documentary, DVD or completion of (EWL) copy measurement run for portable hard the well (not the specific logging drive understood) operation.
Samples - core team and geochemist to give their input A minimum of 200g dry weight per sample interval 1 month after set and thoroughly Drilling 24 One set completion of cleaned, dried and cuttings Sample the well suitably packaged with indelible printing of well name, depth ranges. Fresh core slabbed vertically of which 3 months after 1/3 to be submitted conventional 25 completion of to GA and 2/3 cores the well submitted to D e s i g n a t e d Sample Authority If collected from G a s e o u s wireline, drill stem or hydrocarbon production tests. s a m p l e s On completion 26 Government Consultation (in an API of test to advise with GA approved safety Operator recommended. (300 container) of receipt cc if available) If collected from F l u i d 3 months after wireline, drill stem or hydrocarbon Government completion of the production tests. samples (in an to advise 27 well or Consultation with API approved Operator after collection of Government is s a f e t y of receipt sample recommended. (….. container) ltr if available) 6 months after Sidewall core 28 one set completion of material Sample the well Palynological slides and r e s i d u e s 12 months after 29 Palaeonto- one set completion of if prepared Sample logical material the well Petro-logical slides Special Study Submission Requirements Documentary and derivative volumes PDF must be separated; CD-ROM/ 3 months after Workover/re- one image files included 30 Documentary DVD or completion of entry reports copy in reports must also portable hard the well be submitted as drive separate JPEG or TIF files. PDF An annual report is Reports on 12 months after CD-ROM/ required for any analysis, etc. One Documentary sampling 31 DVD or cuttings or cores of cuttings or copy Derivative or borrowing portable hard retained overseas for cores. material drive more than 12 months CORE DATA ASCII, XLS 12 months after ASCII file with -Data from CD-ROM/ One sampling metadata included 32 analysis, Documentary DVD or copy or borrowing and attached to the etc. of cuttings portable hard material analysis report. or cores drive
NOTIFICATION OF DISCOVERY AND WIRELINE SURVEY REPORTS, TITLE AREA REPORTS, FIELD DEVELOPMENTS PLANS
Notification should PDF include; Discovery CD-ROM/ Within 1 month notice and assessment Notification of One 33 Documentary DVD or of report (including discovery copy email discovery preliminary attachment estimates of petroleum- in-place) PDF CD-ROM/ Within ………... One 34 (Added above) Derivative DVD or days of copy portable hard discovery drive PDF CD-ROM/ Annual One 31st October 32 Derivative DVD or resource report copy annually portable hard drive Monthly PDF, wireline PDS,META surveys and - One CD-ROM/ 33 delete this Documentary Monthly copy DVD or subsurface portable hard safety valve drive reports Preliminary Field PDF As soon as Development CD-ROM/ possible after One 34 Plan Derivative DVD or development copy (already portable hard planning provided for in drive commences the law) PDF With application Field CD-ROM/ One for 35 Development Derivative DVD or copy production Plan portable hard licence drive Notification where new or increased risk to resource recovery One 36 Derivative is identified copy after consent to Field Development Plan Revision to Field Development Plan after new As soon as or increased PDF possible after risk to CD-ROM/ risk is identified, One 37 resource Derivative DVD or or as copy recovery is portable hard agreed with identified, not drive Designated provided for in Authority development plan in force
PDF Before seeking Update to Field CD-ROM/ consent Development One 38 Derivative DVD or for major change Plan- after copy portable hard to major change drive development plan PDF 5 years after Update of Field CD-ROM/ previous Development One 39 Derivative DVD or agreed Field Plan copy portable hard Development - after 5 years drive Plan Update of Field PDF Development Before seeking CD-ROM/ Plan One consent 40 Derivative DVD Or - prior to copy for cessation of portable hard cessation of production drive production DAILY, WEEKLY AND ANNUAL REPORTING
Must comply with By midday of regulation 130. PDF the day Daily reports One Emailed 41 Documentary Email after the day to for wells copy to addresses attachment which the designated by the report relates. Authority Must comply with By midday of PDF, PDS, regulation 130. the day Daily logs for One META Emailed 42 Documentary after the day to wells copy Email to addresses which the attachment designated by the logs relate Authority Must comply with At the end of the regulation 131. PDF week Weekly reports One Emailed 43 Documentary Email to which the for surveys copy to addresses attachment report designated by the relates Authority No later than one Must comply with Annual reports PDF month regulation 132. for CD-ROM/ after the end of One Documentary/ Emailed 44 exploration DVD or the title copy Derivative or delivered to permits and Email year to which the addresses designated retention leases attachment report by the Authority relates
No later than two Must comply with PDF month Annual reports regulation 132(3). CD-ROM/ after the end of for One Documentary/ Emailed or delivered 45 DVD or the title production copy Derivative to addresses Email year to which the licences designated by the attachment report Authority. relates
EIA REPORTS (The environment team to give their input) One by Original Study of formats (PDF, Preliminary One word ) PDF 46 Documentary Environmental copy CD-ROM/ Impact-EIAP DVD or portable hard drive
One by Original formats (PDF, Environmental One word ) PDF 47 Impact Study- Documentary copy CD-ROM/ EIA DVD or portable hard drive One by Original formats (PDF, Environmental One word ) PDF 48 Management Documentary copy CD-ROM/ Plan-PMA DVD or portable hard drive Maps with Culture Information (Cartography team to give their input)
Hydrography, level curves, Political Division CD-ROM/ (populations, human DVD or establishments, portable hard departments limits, One drive Image 50 Culture Documentary and/or provincial copy (JPG, TIFF or limits milestone, CGM) vector international limits, (ASCII, (x, Capitals) access y, z) SHP or roads, airports BWG archaeological places CD-ROM/ DVD (Exabyte Reserves, Indigenous 8mm) or communities, portable hard National parks, Environmental One drive, Image 51 Documentary Forest reserves, information copy (JPG, TIFF or studies of CGM) vector environmental (ASCII, (x, impact. y, z) SHP or BWG CD-ROM/ DVD (Exabyte Main and/or 8mm) or secondary pipelines, portable hard pumping stations, Oil One drive, Image 52 Documentary batteries, manifolds, Infrastructure copy (JPG,TIFF or separation plants, CGM) vector Capitation-injection (ASCII, (x, Facilities y, z) SHP or BWG CD-ROM/ DVD (Exabyte 8mm) or Basins surface portable hard geology, One drive, Image underground( time- 53 Geology Documentary copy (JPG, TIFF or depth), structures, CGM) vector outcrops, regional (ASCII, (x, sections y, z) SHP or BWG
This must be a near accurate estimate of Spread sheet the cost of activities format e.g. xls, By midday of detailed in the Daily Daily Drilling/ xlsx etc. the day Drilling/Well Testing One 54 Well Testing Documentary CD-ROM/ after the day to Reports. Must be copy Cost Report DVD or which the detailed to the lowest portable hard Report relates. WBS level e.g. man drive hours, equipment hours, quantity of consumables, etc.
This must be an accurate report of the cost of activities detailed in the End Spread sheet of well Drilling/Well format e.g. xls, End of Well Testing Reports. Must xlsx etc. 3 months after Drilling/Well One be detailed to the 55 Documentary CD-ROM/ completion of Testing Cost copy lowest WBS level e.g. DVD or the well. Report man hours, equipment portable hard hours, quantity of drive consumables, etc. and supported by contractor invoices where applicable.
*REPORT TYPE column refers to the type of information required , reference was made in respect of Basic and Non-Basic (Interpretive) data types. The data types defined as Documentary and Petroleum Mining Sample referred to as (BASIC and Derivative referred to as NON-BASIC or INTERPRETIVE).
ACRONYMS USED IN THIS FORM. MWD Measuring While Drilling LWD Logging While Drilling LIS Log Information Standard DLIS Digital Log Interchange Standard ASCII America Standard Code for Information Interchange LAS Log ASCII Standard CD-ROM Compact Disc Read-Only Memory DVD Digital Versatile Disk XLS Microsoft Excel Spreadsheet XLSX Excel Microsoft Office Open XML Format Spreadsheet file Tagged Image File -Format Bitmap graphics TIF Portable Document Format PDF Society of Exploration Geophysicists Y Format SEG-Y Joint Photographic Experts Group JPEG Portable Network Graphics PNG Planetary Data System PDS META Drill Stem Testing DST Ultraviolet UV Pressure Volume and Temperature PVT American Petroleum Institute API Computer Graphics Metafile- image format CGM AutoCAD Shape file SHP Birmingham Wire Gauge BWG Work Breakdown Structure. WBS
THE PETROLEUM(EXPLORATION, DEVELOPMENT AND PRODUCTION) REGULATIONS,2016 APPLICATION FOR A PRODUCTION PERMIT FOR LICENCE NUMBER………. APPLICANT INFORMATION Name of the applicant:
Nationality of applicant: Legal status of the applicant (natural person or body corporate): Names and nationality of directors/ shareholders with more than five percent of the issued share capital(in case of a body corporate): Name and place of incorporation of the body corporate: Name and address of authorised representative or agent of the applicant in Uganda: Current address: City: Country: Email: Fax: Website: Work Phone: Mobile phone: Date of the application: INFORMATION ABOUT THE PRODUCTION AREA TO WHICH THE APPLICATION RELATES Petroleum field or fields: Reservoirs zones to be produced:
Reserves per reservoir zone: Number of wells (producers and Injectors): Monthly production rates per well: Monthly Injection rates per well: Facilities to which production is connected: Others
TIMING AND DURATION OF THE PRODUCTION PERMIT Start date End date EVIDENCE OF PAYMENT OF FEES, IF APPLICABLE
ANY OTHER REVELANT INFORMATION
AUTHORISED SIGNATORY OF THE APPLICANT Signature of applicant Date:
Signature of co-applicant, if joint application Date:
FOR OFFICIAL USE ONLY Decision on Application(granted or denied) Date: COMMENTS:
APPLICANT INFORMATION Name of the applicant:
Nationality of applicant:
Legal status of the applicant(natural person or body corporate): Names and nationality of directors/shareholders with more than five percent of the issued share capital(in case of a body corporate): Name and place of incorporation of the body corporate: Name and address of authorised representative or agent of the applicant in Uganda: Current address: City: Country: Email: Fax: Website: Work Phone: Mobile phone: Date of the application: INFORMATION ABOUT THE FACILITY APPLIED FOR
FINANCIAL CAPACITY OF THE APPLICANT
TECHNICAL CAPACITY OF THE APPLICANT Technical competence and experience of the applicant.
TIMING AND DURATION Planned time of commencement of modification of the facility Start Date: End Date:
IMPACT OF THE PROPOSED MODIFICATION OF A FACILITY Economic: Social: Recreational life: Environment: Cultural: PROPOSED METHODS TO PROTECT THE ENVIROMENT Results of assessments, if any, including EIAs, studies or audits carried out and reports of those assessments: Safe measures to be adopted in the course of the modification operation including measures to deal with emergencies:
ANY CONSENTS AND PERMITS REQUIRED FOR MODIFICATION
EVIDENCE OF PAYMENT OF PRESCRIBED FEES FOR MODIFICATION
ANY OTHER REVELANT INFORMATION
AUTHORISED SIGNATORY OF THE APPLICANT Signature of applicant: Date:
Signature of co-applicant, if joint application: Date:
FOR OFFICIAL USE ONLY Decision on Application(granted or denied). Date:
Regulation 146 and 167 (2) THE PETROLEUM(EXPLORATION,DEVELOPMENT AND PRODUCTION) REGULATIONS,2016
REPORTING OF MONTHLY PETROLEUM PRODUCED FOR THE MONTH……………..YEAR...….
OPERATOR INFORMATION Name of Operator:
License area and location:
Resource unit and/or project name:
Work Phone: Mobile phone:
TEST PRODUCTION RESULTS Date Well Well Name and Flow Gas Water Hours on Oil (stb) Status Day Month Number: rates (scf) (bbls) Production Mode
PRODUCTION VOLUMES Date Well Well Well Name and Flow Gas Water Flowing Days on Day Month Oil (stb) Status Number: rate (scf) (bbls) Pressure Production Mode (Pwf-Psi)
INJECTION VOLUMES AND UTILISATION/DISPOSITION OF PETROLEUM PRODUCED End of Oil Net Oil Gas Water Injection Well Name and Month Injection Date Used Sold Used Injected Pressure Number: Storage. rate (stb) (stb) (scf) (bbls) (Pinj-Psi) (stb) Day Month
ANY OTHER REVELANT INFORMATION
AUTHORISED SIGNATORY OF THE OPERATOR Certification: The undersigned certifies that the above information is complete and accurate and he/she has the authority to bind the operator. Name of Authorized Signatory:
Date: FOR OFFICIAL USE ONLY Checked by:
Date: Counter checked by: (supervisor of First Officer) Name:
THE PETROLEUM(EXPLORATION, DEVELOPMENT AND PRODUCTION) REGULATIONS, 2016
REPORTING OF ANNUAL PETROLEUM PRODUCED FOR THE YEAR………… OPERATOR INFORMATION Name of Operator:
License area and location:
Resource unit and/or project name:
Email: fax: Website: Work phone: Mobile phone: Date of Submission: TEST PRODUCTION RESULTS Well Name Water Hours on Well Status Month Oil (stb) Flow rates Gas (scf) Comments and (bbls) Production Mode Number:
Well Oil Gas Water Flow Flowing Days on Well Status Month Produced Produced Produced Comments rate Pressure Production Mode (stb) (scf) (bbls) (Pwf-Psi)
INJECTION VOLUMES AND UTILISATION/DISPOSITION OF PETROLEUM PRODUCED End of Oil Gas Gas Water Injection Net Oil Month Injection Other Month Used Used Stored Injected Pressure Sold (stb) Storage. rate (Specify) (stb) (scf) (scf) (bbls) (Pinj-Psi) (stb) January
ANY OTHER REVELANT INFORMATION
AUTHORISED SIGNATORY OF THE OPERATOR
Certification: The undersigned certifies that the above information is complete and accurate and he/she has the authority to bind the operator.
Name of Authorized Signatory:
FORM 17 THE PETROLEUM (EXPLORATION, DEVELOPMENT AND PRODUCTION) REGULATIONS, 2016
REPORTING OF PETROLEUM RESOURCES AND RESERVES
Field Name Discovery well
Basin Name Discovery date
Brief Field/ Discovery/Prospect description Top Structure Map Seismic Section
1 Insert Compartment Typi- cal well STOIIP (MMBBL) Recovery Factor Resources (MMBBL) sec- Oil tion P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P90 P10
GIIP (BCF) Recovery Factor Resources (BCF) Gas P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P10 P90
STOIIP (MMBBL) Recovery Factor Resources (MMBBL) Oil P90 P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P10
GIIP (BCF) Recovery Factor Resources (BCF) Gas P90 P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P10
STOIIP (MMBBL) Recovery Factor Resources (MMBBL) Oil P90 P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P10
GIIP (BCF) Recovery Factor Resources (BCF) Gas P90 P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P10
STOIIP (MMBBL) Recovery Factor Resources (MMBBL) Oil P90 P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P10
GIIP (BCF) Recovery Factor Resources (BCF) Gas P90 P50 Pmean P10 P90 P50 Pmean P10 P90 P50 Pmean P10