The Oil Field Regultation-17 MINES ACT, IV (1923)

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Book No: _______________ Ref No: _____________

FORM OF APPOINTMENT OF COMPETENT PERSONS UNDER


OIL &GAS (SAFETY IN DRILLING & PRODUCTION) REG.1974
THE OIL FIELD REGULTATION-17
MINES ACT, IV (1923)
I hereby appoint you ______________________________as ____________________________at
________________________ mine, having made over to you a copy of the Regulations, Rules and
Bye-laws which affect you.

_____________________Manager

Dated: ______________________
I ________________________________ accept appointment as ___________________________at
___________________________ mine, and acknowledge receipt of a copy of the Regulations, Rules
and Bye-laws which affect me.
Dated: ______________ Signature or Thumb Impression
Of the person appointed

THE OIL FIELD REGULTATION-17


MINES ACT, IV (1923)
I hereby appoint you ______________________________as ____________________________at
________________________ mine, having made over to you a copy of the Regulations, Rules and
Bye-laws which affect you.

_____________________Manager

Dated: ______________________
I ________________________________ accept appointment as ___________________________at
___________________________ mine, and acknowledge receipt of a copy of the Regulations, Rules
and Bye-laws which affect me.

Dated: ______________ Signature or Thumb Impression

Of the person appointed

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