PETROAN Membership Form
RC 104657
Company Name
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CAC Number
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Name of ManagingDirector/Authorized Rep.
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First Name
Last Name
Office Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
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-
Area Code
Phone Number
E-mail
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example@example.com
website
Location of Filling Station
State
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Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Enugu
Edo
Ekiti
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Federal Capital Territory
LGA
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Address
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Main Business Interest
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Other Business interest
Numbers of Filling Stations
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Other Locations
Number of Employee
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Membership Requirements
Click as Applicable
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1. Owners oflicensed/Petroleum Products Retail Stations
2. Owners of other Government approved Petroleum Selling Outlets
3. Government Licensed individual/Company Petroleum Storage inthe Nation
Lessee as a Member
4. Leased/licensed Petroleum products Station
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Station Lessee as a Members shall provide the following;
i. Agreement Documents with owners of station. ii. BDE as in three above. iii. PETROAN shall confirm from the Director the legitimacy of such an agreement in writing. This membership category shall not contest for any elective position but can be appointment
1. Members shall register on verification of having a filling station or government-approved petroleum product outlets, with fees as prescribed. i. 50,000 one-time corporate registration fee. ii. 5,000 One-off registration fee for each filling station outlet. iii. Monthly dues 2, 000 per month for each of the filling stations. 2. The NEC is empowered to review members` registration process based on the socio-economic situation of the nation within the period.
Cert. of incorporation
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Article and Memo
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DPR License of theStation
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Picture of the Station
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Passport Pictures of the registering member
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Evidence of lease agreement by registering members should be provided as well; (these category of membership is not eligible for elective offices except as an appointee)
POLARIS BANK
Account Name: Petroleum Products Retail Outlets Owners Association of Nigeria
Account Number: 1771861031
Account Type: Corporate
POLARIS BANK, UBA and HERITAGE BANK is for other state, after payment send your receipt via whatsapp or call this Numbers: 08057875873
Please verify that you are human
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Submit Registration
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