GLOBAL REMOTE BOOKING PROCEDURE

REQUEST FORM
Version: GRBP_01/01/16

For DHL Requesting Country Internal Use Only

M Request Number : *
M Requestor Country : *
M Contact Name (Full Name): *
M Contact Telephone : *
M Reply to Email/Fax : *
Requestor Country has CSV ?:
Origin Country has CSV ?

Requesting Customer Details

M Company Name : *
M Account Number : *
M Contact Name : *
M Contact Telephone : *
Contact Fax :
Contact Email :
M Request Date : *
M Request Time : *
M Has Requestor notified Shipper? :
M Account Owner/Shipper allows destination DHL to provide the account number to the shipper?:

Customer Details for Pick-Up and Delivery

Pick-Up Customer Details Delivery Customer Details

M Company Name : *
M Contact Name : *
M Contact Telephone : *
(Local Number in Pickup City is preferred)

Contact Fax :
Contact Email :
M Pick Up Point (e.g. Reception) :
M Address Line #1 : *
Address Line #2 :
Address Line #3 :
M City : *
M Post/Zip Code : *
Station Code :
Country Name :
Other Useful Information:

Shipment Details

Pick-Up Reference :
Pick-Up Instructions :
Did the consignee notify the shipper? Yes No
M Shipment Contents : *
M DHL Product Type & Code: *
M Number of Pieces : *
M Shipment Weight : *
Shipment Dimensions :
M Shipment Value: *
M Insurance Required : *
Delivery Instructions :
M Ready Date : *
M Ready Time : *
Close Time :
Rate Quoted :

For DHL Pick-Up/ Collecting Country Internal Use Only

Did the consignee notified the shipper? Yes No

M Date Request Received :*
M Time Request Received:*
M Date Customer Contacted :*
M Time(s) Customer Contacted:*
M Pick-Up Delay or Refusal / Reason :*
Local Booking Reference :
M Date Pick-Up :*
M Shipment Reference (eg AWB) :*

* Indicates a mandatory field