Shipment & Transport Information

D. SHIPMENT & TRANSPORT INFORMATION
(To be filled out by the Consolidator)

Tracking Number

ONLY PUT BOX NUMBER DO NOT INCLUDE PNZ

Shipment Reference of Load Number

MBL/MAWB Number

Mode of Shipment

Airx Sea

Total Measurement of Box/es (CBM)

Date of Departure

E-mail Address of Consolidator: support@forexumac.co.nz

Total Gross Weight per Tracking No.

Full Name of Sender

Name of Vessel or Aircraft

Total Net Weight Per Tracking No.

Original Port and Country of Loading

Container Number

Total Insurance per Tracking No.:

Declaration

I declare, under the penalties of falsification, that this Information Sheet has been made in good faith and to the best of my knowledge and belief, is true and correct pursuant to the provisions of the Customs Modernization and Tariff Act of the Philippines and its implementing rules and regulations.

Authorize Representative

Consolidator or Authorized Representative Signature over Printed Name

Date

Declaration I declare, under the penalties of falsification, that this Information Sheet has been made in good faith and to the best of my knowledge and belief, is true and correct pursuant to the provisions of the Customs Modernization and Tariff Act of the Phili ppines and its implementing rules and regulations.