DocuSign Envelope ID: 147D7CB1-4CCE-42AF-9214-719D5B490B20

PTTEP HK Offshore Limited (Co. No. 995613-W)

PTTEP Sarawak Oil Limited (Co. No. 993918-P)
PTTEP Sabah Oil Limited (Co. No. 993919-M)
1st Floor, Asian Supply Base Opera�ons Building, Ranca Ranca Industrial Estate, 87017, Labuan Federal
Territory, MALAYSIA Tel : +60(87) 410 916 / Fax : +60(87) 411 553 www.ptep.com
_______________________________________________________________________

CARGO CONSIGNMENT DECLARATION

DANGEROUS GOODS / PROHIBITED ITEMS STATEMENT

NAME OF PERSON SENDING : Muhammad Fikri Bin Ahmad Zamri

ADDRESS : Warehouse 16, Door 3, Kemaman Supply Base, 24000 Kemaman

ID/PASSPORT : 890518145675

TELEPHONE CONTACT : 0177072930

NAME OF OWNER : GEOWELL

NAME OF PERSON RECEIVING :

DESTINATION : KIKEH – For PS16 Camera job

DESCRIPTION OF CONTENTS :
DOWNHOLE CAMERA PACKAGE
DocuSign Envelope ID: 147D7CB1-4CCE-42AF-9214-719D5B490B20

DANGEROUS GOODS / PROHIBITED ITEMS DECLARATION:

I, (SENDER NAME) Muhammad Fikri Bin Ahmad Zamri

HEREBY DECLARE THE CONTENTS OF THE CONSIGNMENT DOES NOT CONTAIN DANGEROUS GOODS
OR PROHIBITED ITEMS. Pre-Approved By:-

SIGNATURE OF SENDER: loong yee koh

Head of Sabah Production Operations Section

PBS/O
CHECKED GOODS/PACKAGING BY 09-Aug-2023 | 8:33 AM SGT
(PTTEP REP/AUTHORIZED DGR): …………………………………………………………………………………
Kulkiranita Jastine
08-Aug-2023 | 6:32 PM SGT
Note ;
Cargo Consignment Form must be completed sign before allowed goods to be on the chopper
.
DocuSign Envelope ID: 147D7CB1-4CCE-42AF-9214-719D5B490B20

Photo of DH Camera – PTTEP

No Item Pictures
1 Downhole Camera

2 Batery Housing

3 Centralizer

4 SRO Unit

5 DH Camera Laptop

6 Depth Time Recorder + Encoder

DocuSign Envelope ID: 147D7CB1-4CCE-42AF-9214-719D5B490B20

7 Handtool Box

4 2

3 6

Packaging Dimension

Packaging Dimension Weight

No
1 130cm x 40cm x 16cm 35kg
2 190cm x 10cm OD 15kg
3 44cm x 47cm x 17cm 10kg
4 Laptop Bag 5kg
5 35cm x 28cm x 33cm 8kg
6 44cm x 23cm x 22cm 9kg
Total Weight 82kg
DocuSign Envelope ID: 147D7CB1-4CCE-42AF-9214-719D5B490B20
49CAE9DB-E3B9-449C-9EB4-21651370DDB5
MOM-WHS-MRO-PRD-MTN-SB-23-0262
MATERIAL REQUEST ORDER
Page 1 of 1

PTTEP SARAWAK OIL CO., LTD X PTTEP SABAH OIL CO., LTD. PENINSULAR MALAYSIA OIL CO., LTD.
REQUESTED DATE August 8, 2023 REQUIRED ON-SITE DATE August 9, 2023
DELIVER TO KIKEH SPAR VIA HELICOPTER

ITEM MATERIAL / RESERVATION DESCRIPTION QTY UOM REMARKS

1 ~ CAMERA CASE 1 EA
1.1 ~ HYBRID CAMERA, ZLX-D44-CAM-109 & ZLX-D44-BATTERY-109 2 EA
1.2 ~ BATTERY HOUSING, ZLX-D44-BATTERY-109 1 EA
1.3 ~ CENTRALISER 1 EA
2 ~ SURFACE READ OUT CASE 1 EA
2.1 ~ SRO UNIT 1 EA
GEOWELL
2.2 ~ CAMERA LAPTOP 1 EA
2.3 ~ CABLES 4 EA
2.4 ~ CABLES ENTENSION 1 EA
3 ~ DEPTH TIME RECORDER 1 EA
4 ~ ENCODER 1 EA
5 ~ HANDTOOL 1 EA

1
SPECIAL
2
REMARKS
3
SIGN-OFF PREPARED BY APPROVED BY
DESIGNATION MATERIAL & LOGISTIC COORDINATOR, KIKEH SPAR PRODUCTION SUPT, KIKEH SPAR

SIGNATURE

NAME TERRY AUGUSTINE SUFIAN HAMID

DATE 08-Aug-2023 | 2:40 PM SGT 08-Aug-2023 | 2:44 PM SGT