TRUST DIPLOMATIC SECURITY

SHIPPING SERVICES

Receiving Application (0214 QD)

Applicant Information

Full Name: Date:

Last First

Address:
Street Address Apartment/Unit #

City State ZIP Code

Phone: Email

YES NO YES NO
Are you a citizen of the United Kingdom? If no, are you ready to receive outside UK ?

YES NO
If yes, which Country?

Employment Status

Company: Phone:
Address: Supervisor:

Job Title: Starting Salary:$ Ending Salary:$

Responsibilities:

From: To: Reason for Leaving:

YES NO
May we contact your previous supervisor for a reference?

1
 Terms and Condition

1. The customer must request to download the application data, fill it out, Attached with the power of
attorney and a copy of ID and send it to the company email.
2. The customer must fill in the details carefully and write the current residence address clearly
3. Shipper has complied with all applicable customs, import, export, data protection laws, sanctions,
embargos and other laws and regulations.
4. Shipper has obtained all necessary consents in relation to personal data provided to TRUST
DIPLOMATIC SECURITY SHIPPING SERVICES, including Receiver’s data as may be required for
transport, customs clearance and delivery, such as e-mail address and mobile phone number.
5. The company is responsible for all losses in the case of, delay in addition in case of shipment to the
sending country and the recipient did not receive it.

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

Signature: Date: