Government of Greenland

Mineral Licence and Safety Authority

P.O. Box 930, Imaneq 1A 201, 3900 Nuuk, Greenland

Tel: +299 346800 Mail: Website:

Prospecting Licences for hydrocarbons - Application Form

Applications for prospecting licences for hydrocarbons and any supplementary material may be submitted to MLSA by letter, by email or by delivery at the address above. An application for a prospecting licence should be submitted in due time for processing and well before application of any planned activities (fieldwork, excursions etc.).

The standard terms for prospecting licences for hydrocarbons (non-exclusive) are stated in MLSA's publication “Standard terms for prospecting licences – Hydrocarbons”(March 2009). Fees will be invoiced according to the standard terms.

An application for planned activities (fieldwork, excursions etc.) under the granted licence has to be received by MLSA2 months before the planned activity – see “Guidelines for submitting application for field activities under Prospecting licences for hydrocarbons” (January 2004) under “Fieldwork; Application and Reporting”.

Field activities must comply with the “Rules for field work and reporting regarding mineral resources in Greenland (November 2000)”. Please note, that there are certain regulations for field activities for specific areas and periods, a field report (standard form) must be send to MLSA no later than 1 month after the termination of field activity, and a geological report must be sent to MLSA no later than April 1st , in the year after the field activity.

Offshore exploration activities must comply with the “Guidelines for applications, execution and reporting of offshore hydrocarbon exploration activities (excluding drilling) in Greenland” (December 2011).

Rules and regulations are available on the MLSA website and will, on request, be send by mail.

The application for Prospecting Licences for hydrocarbons for offshore and/or onshore areas in

Greenland is a form below, filled out with all details. If the space allocated is too limited, addenda

may be enclosed.

Application for a Prospecting Licence for hydrocarbons (non-exclusive)

General information

Name:

Address:

Contact person:

Telephone no.:

E-mail:

Joint venture

If the applicant is a joint venture, all parties with participating interests should be indicated:

Operator:

Application for

A new Prospecting licence □

An area enlargement for the Prospecting licence no. ______□

The capabilities of the applicant (Not to be filled in for companies already holding an exclusive licence in Greenland)

Technical capabilities:

Financial capabilities:

Annual report(s) included: Yes □No □

If No, please indicate the reason:

Other information of relevance to the application

Location of the area applied for

Onshore areas □and / or offshore areas □in one of the Greenland regions:

West□(areas south of 780N and west of 440W)

East□(areas south of 750N and east of 440W)

North□(areas west of 440W and north of 780N, and areas east of 440W and north of 750N)

Each of the three regions is a standard size prospecting area to be applied for.

If the area applied for is defined as an area within two of the main areas above, theco-ordinates for the corner points delineating the area should be defined with a mapenclosed

Co-ordinates of corner points (Degrees and minutes - clockwise from upper left):

Enclosures

Addendum enclosed: Yes □, no. of page(s): ____

If the area is defined by co-ordinates, no. of enclosed maps: ____

Date:

Signature: ______

Printed name: