Government Agency Fuel Requirement Matrix

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Government Agency Name / Address

Prepared By:

signature over printed name

PARTICULARS OF FACILITY
LOCATION
TYPE OF FACILITY OWNERSHIP REGION PROVINCE CITY/ ADDRESS
MUNICIPALITY

.List down ALL facilities associated/affiliated with the agency


e.g. Import Terminal
Depot
Retail outlet
GOVERNMENT AGENCY FUEL REQUIREMENT MATRIX
Contact Details

Reviewed by:

Y MONTHLY FUEL R
CAPACITY IN PRODUCT REQUIREMENT
THOUSAND LITERS JANUARY FEBRUARY MARCH APRIL MAY
MONTHLY FUEL REQUIREMENT, KL TOTAL FUEL
REQUIREMENT
JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER
REMARKS

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