APPLICATION FOR APPROVAL/ PERMIT TO INVEST INTO COMPRESSED NATURAL GAS SUPPLY/REFUELING FACILITY FOR VEHICLES
For more clarifications regarding the form kindly forward your queries to the following addresses (i.e. info@tpdc.co.tz. Personal Information collected will remain confidential and used solely for the purpose of evaluating potential CNG investors.
DETAILS OF THE APPLICANT
Name of applicant should be the business trading name
Name of the Applicant *
Your answer
Business Address
Fill in details of your business address below
Street *
Your answer
Plot No *
Your answer
Block No
Your answer
Building No
Your answer
Postal Address *
Your answer
Telephone Number *
Your answer
E-mail address *
Your answer
Please fill in the location and complete address of the proposed facility
Street *
Your answer
Plot No. *
Your answer
Block No.
Your answer
Building No.
Your answer
Registration Status
Fill in the details where appropriate
(a) Certificate of Incorporation Number *
Your answer
(b) Certificate of Compliance Number
Your answer
(c) Business license Number *
Your answer
(d) TIN Number *
Your answer
(e) VAT Number *
Your answer
Legal status of Applicant *
Contact Person details
Name *
Your answer
Title of Contact Person *
Your answer
Physical Address *
Your answer
Postal Address *
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
Submit a Separate sheet of information related to the Applicant where applicable (e.g. Shareholding Arrangements, Directors, Members of the Board of Directors, Chief Executive Officer (where applicable)
Only submissions from official emails will be processed. Submit this information to the e-mail dernest@tpdc.co.tz. If applicable
If the applicant is in a Joint Venture with another entity, provide the following details:
Name of another entity
Your answer
Official names of Directors
Your answer
Official Names of Partners
Your answer
Nationality
Your answer
Share holding percentage
Your answer
Physical Address
Your answer
Postal Address
Your answer
Telephone
Your answer
Email Address
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Tanzania Petroleum Development Corporation. Report Abuse