SDS Shipment

Business Unit Code Referred by (Email Id) DHL Account Number Customer Name Service Required Shipper Details Shipper Name Shipment Pick up address (Detailed) City Zip code Country Shipper Contact Name Shipper Contact Details (Mobile) Consignee Details Consignee Name Shipment Delivery address (Detailed) City Zip code Country Consignee Contact Name Consignee Contact Details (Mobile) Shipment Details Pick up date & time Delivery date & time Weight (in Kilos) Dimensions (cms) Number of Boxes Invoice value * Contents Dangerous Goods Clearance Type If export, is DTP service required ? Insurance Required Service Type Remarks if Any * CHA / Broker Details Contact Person Contact Details (Tel, Mob & Email ID) Address * Please send Invoice copy, if available, with this form

31184

AYAN ROY

BANGALORE INSTITUTE OF TECHNOLOGY Bangalore Institute of Technology, K.R. Road, V.V. Pur BANGALORE 560004 INDIA KARTHIK HONAPPA OO919538773492

Yeungnam University 280, Gyeongsan-si, Gyeongsangbuk-do 712-749 SOUTH KOREA Yeungnam University 82538102448

7/16/2013 450Kgs 233cmx91cmx146cm (Inclusive 20cm of clearance) (a 1 1.2L EXHIBITION PURPOSE CAR YES YES NO Door to Door

Please fill if, Door to Port / Port to Door / Port

SDS Shipment Order Form

311846

UTE OF TECHNOLOGY Technology, K.R. Road, V.V. Puram,

(Inclusive 20cm of clearance) (approx.)

SE CAR

to Port / Port to Door / Port to Port Only