SHIPPER ("THE CUSTOMER") 付貨人及地址 :

BUSINESS REG. NO.
商業登記號碼 :
 
Tel 電話 / CONTACT PERSON 聯絡人 : 
CONSIGNEE 收貨人及地址 :

Tel 電話 / CONTACT PERSON 聯絡人:
 
NOTIFY PARTY :
Tel 電話 :
  
MAWB NO. 航空提單 :
 NAME OF CARRIER 航机 :  DESTINATION 目的地 :
HAWB NO. 公司提單:  DEPARTURE AIRPORT :
   		AIRLINE COUNTER-SIGNATURE :
Yes No 航空公司加簽
AIRFREIGHT CHARGES 運費 :
   		TO BE PREPAID 預付 :
 		TO BE COLLECTED 到付 :
  
(IF SERVICE AVAILABE)
OTHER CHARGES 其他費用 :
 		TO BE PREPAID 預付 :
 		TO BE COLLECTED 到付 :
 (IF SERVICE AVAILABE)
COUNTRY OF ORIGIN (GOODS) 原產地 :
SPECIAL INSTRUCTIONS 備注 :

SHIPPER'S KC CODE :

MARKS NOS.
嘜號		 NO. AND KIND OF PACKAGES
數量和包裝類別		 DESCRIPTION OF GOODS
貨物名稱
GROSS WEIGHT
毛重 		MEASUREMENT
尺碼
EXPORT LICENCE NO.
出口証 :
 CERT. OF ORIGIN NO.
來源証 :
 
INSURANCE AMOUNT
保險金額 :
 SHIPPER'S C.O.D.
代收金額 :
SPECIFY CURRENCY
幣別 :
 DECLARED VALUE FOR CUSTOMS
報關金額 :
 DECLARED VALUE FOR CARRIAGE
運輸金額 :
DOCUMENTS TO ACCOMPANY AIRWAY BILL OR HOUSE AIRWAY BILL 隨同航空提單之附件 :

PACKING LIST COMMERCIAL INVOICE CERTIFICATE OF ORIGIN CONSULAR INVOICE OTHERS :
SUPPLEMENTARY :
 
SIGNATORY'S NAME 託運人 :
Tel 電話 :
EMAIL ADDRESS 電郵 :
The Agent Acknowledges receipt of the above instructions from the Customer. This acknowledgement does not constitute an acceptance of the instructions by the Agent. Acceptance of the instructions will be made by way of the issue of the Agent's House Air Waybill, House Airbill. Air Consignment Note for the Air Carrier's Air Waybill or other such similar documents.
Where goods or documents are delivered to and accepted by the Agent before the Agent accpets the Customer's instructions, no liability whatsoever for such goods or documents will be accepted by the Agent. If, however, the Agent is held to be liable, all the provisions of limitation of liabilities specified in the Conditions of Contract overleaf will apply. The Customer shall reimburse the Agent with all expenses and costs incurred and will indemnify the Agent for all losses and liabilities howsoever caused.
 SHIPPER'S DECLARATION
1. The Customer declares that all descriptions, values and other particulars furnished herein are accurate and complete. The Customer undertakes to indemnify the Agent against all losses damages expenses fines and any other liabilities whatsoever arising from any inaccuracy or omission, even if such inaccuracy or omission is not due to any negliegence.

2. The Customer declares that pursuant to Condition 15 of the Conditions of Contract it shall be responsible for all charge and expenses relating to the goods whether or not the charges and expenses are to be prepaid or collected.

3. The undersigned authorized officer of the Customer hereby declares that he has read the Conditions of Contract and the terms and conditions appearing on this page and that he fully understands them and agrees on behalf of the Customer that they should form part of the contract which, upon acceptance to the above instructions by the Agent, will be concluded between the Customer and the Agent.
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