Questionnaire for cargo to or from Syria

1. Shipper(s) full name & address

AC ASIA INTERNATIONAL TRADING L.L.C

PO BOX .125789
TEL:04-2595970 FAX : 04-2656086

2. Consignee(s) full name & address

Mohammad Rateb Al Shalah

Barmekh Sqr.
Damascus- Syria
Tel:01122222055

3. Notify party(ies) full name & address

SAME AS CONSIGNEE

4. Requested place of receipt/port of loading

JEBEL ALI , UAE

5. Requested place of delivery/port of discharge

LATAKIA , SYRIA

6. Commodity [detailed description specify if dangerous goods]

VEHICLE ADDITIVES

7. Country / place of origin of goods

UAE

8. Place of manufacture of goods

UAE

9. Any components of United States of America origin in the goods (if so what, how much)?

NONE

10. End-use of the goods

CAR SERVICE

11. End-user if not the above mentioned consignee?

CONSIGNEE

12. Can the goods be used for military purposes and/or for internal repression?

NO

1
13. Name of banks involved in the transaction and their country of registration as well as currency
used in any such transaction:

RAK BANK USD

14. Expected volume:

40