DATE : 11 AUGUST 2015

SHIPPER ADD. & CONTACT DETAILS (AUS)

ADD. & CONTACT DETAILS

HOME COUNTRY

MOHAMAD HADI BIN GHAZALI

1/11 HILLVIEW AVENUE, GWYNNEVILLE,
WAKAF TENGAH,
2500, NSW
TERENGGANU
0452644525

SHARIFAH BINTI MOHD SALLEH

LOT 15061 KAMPUNG
21030 KUALA TERENGGANU,
0199154525

PACKAGING DETAILS:
TOTAL VOLUME OF SHIPMENTS:

0.7
5

NUMBER OF BOXES:

NUMBER OF FRAGILE BOXES:

DELIVERY INSTRUCTION:
I __MOHAMAD HADI BIN GHAZALI_ declared that the contents in the boxes is under my name, and I will take full
responsibilities if any circumstances occurs on the contents during the shipments that been handled by people that I appoint.
Signature:
..

Received by:
..

(MOHAMAD HADI GHAZALI)

(Koalabelangs Rep)

List of Contents
Name : MOHAMAD HADI BIN GHAZALI
Address and Contact #(Australia) :
1/11 HILLVIEW AVENUE, GWYNNEVILLE,
2500, WOLLONGONG, NSW
0452644525
LIST
1. Glassware
2. Kitchenware
3. Kitchen Utensil
4. Dining ware
5. Dinnerware
6. Casseroles
7. Kitchenware
8. Baking utensil
Shipper,
(signature)
MOHAMAD HADI GHAZALI

Passport # : A34084265
Address and Contact # (Home Country) :
LOT 15061 KAMPUNG WAKAF TENGAH,
21030 KUALA TERENGGANU,
TERENGGANU
0199154525

No . Boxes/total
boxes
1/6
2/6
3/6
4/6
5/6
6/6

Contents
DINNERWARE
DINNERWARE
DINNERWARE
DINNERWARE
DINNERWARE
DINNERWARE