COMPANY HEAD LETTER

LETTER OF INDEMNITY
We, (Party name) are the consignee/notify party,

Name : (As mention on API)

Position : (As mention on API)
Company : (As mention on API)
Address : (As mention on API)
Phone & Fax :
Email Address : (Company email address is mandatory)

Hereby request you to release D.O (Delivery Order) to our company for every our IMPORT
shipment using COSCO SHIPPING LINE CO., LTD. and/or NEW GOLDEN SEA SHIPPING PTE., LTD.

Please send our D.O (Delivery Order) to email address :

- (Company email address is mandatory)

For your consideration in comply with our above mention request, we hereby states fully
responsible for:
- against all consequences and/or liabilities or any kind of any impact occur directly or
indirectly arising from or relating to the release of our D.O (Delivery Order).
- Return empty container to designated depot.
- Any demurrage and repair charge upon empty container returned to depot.

This Letter of Indemnity will take effect on the date it is signed and will terminate on
(DD/MM/YYYY) unless it is renewed or otherwise terminated or revoked.

Jakarta, (DD/MM/YYYY)
(Company Name)

__Materai 6000, Name, stamp & Sign__