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1 Customer Application Form for a Shipper User (Users involved in the conveyance of gas, or arranging for the conveyance of gas, under the terms of the UNC) February 2018 Please return completed form to: Xoserve Limited Customer Life Cycle Team Lansdowne Gate, 65 New Road, Solihull, West Midlands, B91 3DL Or to: customerlifecycle.spa@xoserve.com

2 Section 1: Customer Details (mandatory) Company Name: Registered Address: Company Registration : UK VAT Registered: Country of Registration: (if no) VAT Registration : Exempt from UK VAT: Operational Address: Main Main Company Web Address: Energy Identification Code (EIC): Invoicing Address: Xoserve assign a three letter short code to your organisation. The short code is used to identify your organisation on data flows used by the industry. We intend to share with the SPAA details of the short code allocated to your organisation. Please indicate if you are happy for us to do so. If no, please provide reason below: Section 2: Company Background and Market Intentions (mandatory) Section 3: Licence Information (minimum information requirement) Have you obtained your Gas Shipper licence from OFGEM? Do you hold a Gas Supplier Licence? Page 2 of 12

3 Section 4: Trading/Commercial Frameworks (mandatory) Do you intend to trade gas at the National Balancing Point (NBP)? If, indicate Estimated Trade Volume in kwh (mandatory) Per Annum Do you intend to trade gas On The Day Commodity Market (OCM)? Section 5: National Transmission System Operations Interconnectors Do you intend to register for the Interconnector (UK) Limited (GB Belgium) interconnector? Do you intend to register for the Moffat (GB Ireland) interconnector? Entry Exit Entry Exit Do you intend to register for the BBL (GB Netherlands) interconnector? Entry Exit Entry Capacity Do you intend to participate in Entry Capacity Auctions? Please indicate which entry point you intend to bring gas into the system (please tick) Barrow Bacton St Fergus Theddlethorpe Easington Milford Haven Teeside Isle of Grain Burton Point Fleetwood NTS Exit Direct Connects (Power Stations / CSEPS) Please note that in order to ship to a CSEP you will need to sign an Accession Agreement to the appropriate CSEP Ancillary Agreement. Do you intend to have Unique Sites (Shared Sites) address details will be required in section 13 Storage Sites Section 6: Distribution Networks Systems (mandatory) Please confirm which Distribution Network Systems you intend to use (please tick). Please provide Supply volume(s) in kwh for each intended Distribution Network. Cadent Gas Operated Networks: West Midlands Network London Network East of England Network rth West Network Page 3 of 12

4 Scotland and Southern Gas Operated Networks: Scotland Network Southern Network rthern Gas Network: rthern Network Wales & West Utilities: Wales & West Network Section 6a: Independent Gas Transporter (IGT) Network Details (mandatory) Please indicate here each IGT Network you intend to use (if any). Each relevant Network will contact you separately in order to create the relevant agreements. IGT Name/s: Section 6b: Distribution Network (LDZ) Supply Point Portfolio Details (mandatory) Please indicate time periods over which supply points will be introduced into your portfolio, by showing loads and supply point estimates in six months, 1 year or other relevant time periods. Load in kwh Mandatory. of Supply Points Current +6 months +12 months Power Station(s) Large Industrial (Firm) Large Industrial (Interruptible) Industrial & Commercial (Firm) Industrial & Commercial (Interruptible) Domestic Estimated Total Firm Demand Estimated Total Interruptible Demand Storage Interconnector Section 6c: Gas Supplier Information Please give details of ALL Gas Suppliers with whom you have a contract or with whom you intend to have a contract. Please continue on a separate sheet if necessary. Company Name: Registered Address: Company Registration : Page 4 of 12

5 UK VAT Registered: : : UK VAT Registration : Contact Name & Title Country of Registration: (if no) n UK VAT Registration : Address Section 7: Credit Risk Arrangements (mandatory) Please indicate legal relationship with other companies for credit arrangements. Please note that details of ALL stakeholders in your company are required. Please continue on a separate sheet if necessary. Independent Subsidiary Joint Venture Other If other, please provide details: Section 7a: Parent Company Details (if applicable) Parent Company Name: Registered Address: Company Registration : UK VAT Registered: : : UK VAT Registration : Country of Registration: (if no) n UK VAT Registration : Operational Address: Stake holding: 1 st 2 nd Section 7b: Bank Account Details (mandatory) For companies with overseas bank accounts, transaction charges are the responsibility of the customer and must be included in the payment. The provision of a swift code for completing overseas transactions is also mandatory. Bank Name: Address: Account Details: Sort Code: Swift Code (mandatory for n UK customers only): 1 st Page 5 of 12

6 2 nd Section 7c: Credit Preferences (mandatory) Please indicate your preferred method of arrangement: Transportation: Approved Credit Rating Letter of Credit Prepayment Agreement Deposit Deed Guarantee Unsecured Credit Limit (Where Eligible) preference Other (please specify) Energy Balancing: Letter of Credit n Registerable Deposit Deed Seasonal Energy Balancing Credit Cover (This is a chargeable Specific Service) / *Delete as applicable Reference SS SA22 74 From Xoserve s Agency Charging Statement Section 8: User Agent Details Please complete if you intend to appoint a User Agent Do you intend to use a User Agent? Company Name: Registered Address: Operational Address: Please provide details of activities to be undertaken by the agent: Section 9: Process Agent Details If the Applicant User is incorporated outside England and Wales, it must appoint a Process Agent and provide the following details of the duly appointed agent. Name of Firm of Solicitors or Company in England and Wales: Address of Solicitors or Company: Page 6 of 12

7 Contact Name: Job Title: Contact Telephone Number: Section 10: Anticipated Timescales (mandatory minimum 3 months) Target Go Live Date: Section 11: Authorised Representative If you intend to use an external contractor to oversee the user admission process, please provide their details below: Contact Name: Section 12: Information Services and IX equipment (mandatory) IX Sharing Do you intend to share an existing set of equipment? (Please note that the owner of the IX will also be required to submit a request form later in the process) if yes please complete the following: Existing user s company details: if no please complete the following: Please provide the address in which the IX equipment will be installed (mainland UK only) and a lead contact name that will co-ordinate the installation: Please note that your organisation will be charged for both the installation cost and the annual maintenance charge upon completion of the IX work. Please refer to the CDSP Annual Charging Statement for costs- the link to which is within the Applicant User Handbook IX Address: Additional Information: Contact Name: Floor Number, Room Name and Rack ID where equipment is to be installed Site Access Requirements e.g. Security, Health & Safety Requirements, engineers name, time when work can be undertaken. Page 7 of 12

8 Section 13: Contact Details (mandatory) Please provide contact details for all of the below areas. Gas Supply Emergency (24 hours per day) Contact: (mandatory) Managing Director / CEO: IT and Information Services Contact: Regulation / Uniform Network Code Contact: Finance Contact: Trading Operations Contact: Legal Contact: Page 8 of 12

9 Section 13: Contact Details (continued) Emergency (Incident Handling & CO Poisoning) Contact: Operational Contact: : : Contract Manager: Portfolio Management Contact: Credit & Risk Energy & Transportation Contact Invoicing Accounts Receivable Contact: Shared Supply Points (if you intend to have Unique Sites indicated in section 5)- Inbound files Shared Supply Points (if you intend to have Unique Sites indicated in section 5)- Outbound files ANS Contact: Mobile : Page 9 of 12

10 Section 14: Local Security Officer (LSO) The LSO is the first point of contact for any system registration or security access issue. All applications for system access must be submitted by the LSO. Please note the LSO does not have automatic access to the Xoserve Services Portal and a separate request for this will be required; the details on how to do this will be shared when the organisation is made live. Registration Details Name of LSO to be created Contact Details: Telephone: Fax: Office: Mobile: *Individual *please note we cannot accept a shared address Business Address: New LSO Signature: Systems Appointed as LSO Please indicate with (X) the systems for which you will be the registered LSO: Gemini (for Gas Trading Activities) Xoserve Services Portal (Data Enquiry and UK Link) Access can be requested separately upon Go Live Contact Management Service (Gas Supply Point Meter Data) (Gas Supply Point Query Management Service) Page 10 of 12

11 Section 15: User Admission & Signatures Upon completion of the Customer Application Form, certain validation checks will be undertaken. If successful, we hereby undertake to pay into the Bank Account (details of which will be provided to you upon successful application) within 7 days of the date hereof the sum of 2,900 (plus VAT if applicable) free of all bank charges, being payment of our Administration Fee. We understand and agree that this fee is non refundable, whether or not our application results in us becoming a Shipper User (as such term is defined in the Uniform Network Code) and, if it does not, whatever the reason is for us not becoming such a Shipper User. We also understand and agree until such payment is received by Xoserve, no action will be taken to progress this application. This Application Form should be signed by an Authorised Signatory of the Customer (e.g. a Director) By signing and submitting this form (whether in paper format or electronically) you ( you, for the purposes of this paragraph, meaning the Customer identified in this form) are not acceding to any gas transporters network code or to the Uniform Network Code but you do confirm and warrant that this form has been completed by a person with the requisite knowledge and authority to do so and that the information contained within it is true and correct. You undertake to advise Xoserve in writing immediately of any changes in, or updates to, the information provided. Signature: Print Name: Title: Authorised signatory for and on Behalf of: Date: Page 11 of 12

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