PROFORMA BOOKING

Shipper/Exporter (complete name and address) BOOKING NO.

Export References

Consignee (complete name and address) Forwarding agent - references

Point and Country of Origin

Notify Party (complete name and address) Domestic routing/export instructions

*Precarriage by Place of Receipt Onward inland routing

Vessel Port of Loading Type of Cargo (DG / NDG)

Port of Discharge Place of Delivery Declaered Value

CARRIER'S RECEIPT PARTICULARS FURNISHED BY SHIPPER - CARRIER NOT RESPONSIBLE

Container Numbers Seal Numbers Container Size/type No. of packages Cargo Description Gross Weight (indicate kgs/lbs) Volume (cbm/ft)

Freight Charges: Rate Unit Prepaid Collect

Mode of Service:
Instructions I attest that all details are based on actual measurements. Affixed my signature
below and agreed that all details in this HOUSE WAY BILL are TRUE and CORRECT.

_____________________________________________
Name and Signature