Bid Submission Form

Closing date of the Call for Bids: __________________________________

Bid posted on the following parcel: ________________________________

Amount of Work Proposal submitted: ______________________________
(minimum amount of $1,000,000)

Work Deposit submitted: _______________________________________
(25% of the Work Proposal Bid)

The Work Deposit is submitted in the form of

certified cheque _____
bank draft _____
promissory note _____
letter of credit _____

If this Bid is successful, please issue the exploration licence to:

_______________________________________ ____._____%
_______________________________________ ____._____%
_______________________________________ ____._____%
_______________________________________ ____._____%

Name of representative and address for service:

__________________________________________
__________________________________________
__________________________________________
phone:_____________________________________
fax:_______________________________________

If this bid is not accepted, the work deposit should be returned to:

__________________________________________
__________________________________________

by registered mail _____
other (please specify)_____

Department of Indian Affairs
and Northern Development
Northern Oil and Gas Branch

Postal Address: 10th Floor - 15/25 Eddy St
Ottawa ON K1A 0H4
Fax: (819) 953-5828