I. NOC Request (NRQ) [To be filled out by NOC Requester]
Company Name. : / UAE Address :
Off. Tel. No. : / Mobile No. :
Facsimile No. : / E-mail Add. :
Project Name : / Owner’s Name. :
Consultant : / Contractor :
Brief Work Description and Location: / Work Start Date: / Work End Date:
Company Representative Name / Company Position/Title / Signature / Date
N O T I C E
It is mandatory that Contractor requiring NOC from Dolphin shall fill-out this form, and attach all required documents as listed below in PDF and Hard Copy:
For Construction NOC:
§  Official Request Letter
§  Method Statement
§  Task Risk Assessment
§  Drawings (Hard Copy & PDF)
§  QRA (for commercial or residential development)
§  Signed Trial Fit Survey Form for Pipeline Crossing / For Design NOC:
§  Official Request Letter
§  Drawings (Hard Copy & PDF)
§  QRA (for commercial or Residential development)
For Trial Pit NOC:
§  Official Letter
§  Drawings (Hard Copy & PDF) / For Farmer NOC:
§  Official Request Letter
§  Method Statement (If Any)
For O.H. Line NOC:
§  Official Letter
§  Method Statement
§  Task Risk Assessment
§  Drawings (Hard Copy & PDF) / For Blasting NOC:
§  Official Request Letter
§  Method Statement
§  (Detailed Blast Plan)
§  Task Risk Assessment
§  Drawings (Hard Copy & PDF)
Processing time will be approximately 15 working days. All NOC requests shall be submitted to Dolphin HQ in 19th Floor Al Maqam Tower, Sowwah Square, Al Maryah Island, Abu Dhabi and addressed to the following:
Senior Manager Operations
Downstream Operations
Dolphin Energy Ltd
P. O. Box 33777
Abu Dhabi, UAE / Dolphin Energy Ltd. Contact Number:
Tel. No. : +971 2 6995 500
Fax No. : +971 2 6995 326
Web Site : www.dolphinenergy.com
II. NOC Request Registration [For Dolphin Use Only]
NRQ No: / DOP-NRQ- . / NRQ Date: / .
Registered by: / ______ / Signature: / ______ / Date: / ______
Result
Recommendation: / No Objection Certificate (NOC) TS Review / No Objection Letter (NOL)
Ref. No.: / Date:
Internal Circulation
NOC Administrator: / ______ / Signature: / ______ / Date: / ______
NOC COORDINATOR: / ______ / Signature: / ______ / Date: / ______
Distribution: / NOC Team Network Ops. Ops. Safety Project Other: ______