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NATIONAL ENVIRONMENTAL STANDARDS AND REGULATIONS

ENFORCEMENT AGENCY (NESREA)

Form: NF/04/__/__

REGISTRATION OF BUSINESSES AND INDUSTRIES FORM


GENERAL INFORMATION ABOUT THE FACILITY
i. Name of Facility ………………………………………………………………………….
ii. Address/Official Phone No /E-mail ……………………………………………………….
…………………………………………………………………………………………………
…………………………………………………………………………………………………
iii. GPS Coordinate of Location (Degree Decimal)……………………………………………
iv. Branch Offices with GPS Coordinates (Degree Decimal):
…………………………………………………………………………...………….………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
v. Year of Establishment/Corporate Affairs Commission (CAC) RC. No
…………………………........................................................................................................
vi. Type of Production/Process/Activity……………………………………………………….
…………………………………………………………………………………………………..
vii. Warehouses: ………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………..
viii. Size/ Production Capacity of Facility ………………………………………………..
……………………………………………………………………………………………….
ix. Staff Strength………………………………………………………………………………………
x. Affiliation/Subsidiaries ……………………………………………………………………
xi. Schematic and diagrammatic representation of facility/site and surrounding features with
appropriate coordinates (Please attach drawings) ………………………………………………..
xii. Contact Person…………………………………………………………………………….
a. Designation/Position of Contact Person: …………………………………
b. Location and Address: …………………………………………………….
c. Phone No of Contact Person: …..……………………………………........
d. E-mail of Contact Person: .......................................……………………….
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NATIONAL ENVIRONMENTAL STANDARDS AND REGULATIONS ENFORCEMENT AGENCY (NESREA) NF/04

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