BOOKING REQUEST FORM

HEAD OFFICE:

Tower 1, 8th Floor, Double Dragon Building,

(RC/BB)
DD Meridian Park, Macapagal Ave., Cor. Edsa Ext. Ave., Pasay City

FREIGHT CUSTOMER INTERACTION CENTER

Manila Hotline Number: (02) 8 5287400
Email Address: 2GO_Freight@2go.com.ph

BOOKING NUMBER
BOOKING REQUEST FORM NUMBER BRFMNLADD2020-xxx DATE 31-May-21
(To be filled out by 2GO)

BOOKING DETAILS
SHIPPER'S NAME CZC Telecommunication Services EMAIL ADDRESS halsey.zata07@gmail.com

SHIPPER'S COMPLETE ADDRESS Blk.10 Lot 6 Mahogany St. corner Camias St. Phase II B, Meadowood Executive Village, Panapaan VIII, Bacoor City, Cavite 4102

CONTACT PERSON HALSEY R. ZATA LANDLINE/MOBILE NUMBER 09051514506

CONSIGNEE'S NAME EMAIL ADDRESS

CONSIGNEE'S COMPLETE ADDRESS

CONTACT PERSON ARJAY CENTENO LANDLINE/MOBILE NUMBER 09062067711

ROLLING CARGO (RC) SHIPMENT DETAILS

ROUTE PORT OF ORIGIN PORT OF MANILA PORT OF DESTINATION ILOILO PORT

NUMBER OF UNITS 3 BRAND & MODEL BRAND NEW DFSK CLOSE VAN
MODE OF PAYMENT
Please check ( )
PLATE NO. or CONDUCTION STICKER NO. CBM2055,CBM2065,CBM2058 COLOR WHITE

DIMENSIONS: LENGTH, WIDTH AND HEIGHT Length: 415cm. Width: 160cm. Height: 260cm.
COLLECT DESTINATION (COD)
(in Centimeters)
DECLARED VALUE GROSS WEIGHT
PREPAID (PRP) 458000 x 3 units = Php1,374,000.00 1568KG x 3 units = 4704KG
(in Peso) (in Kilogram)
Port/Place of payment: MANILA GROUND CLEARANCE
ELSEWHERE, Please specify 11.8 Inches
Payor' name: HALSEY R. ZATA (in Inches)

TONNAGE
DATA PRIVACY NOTICE
2GO GROUP, INC., its parent companies, subsidiaries and affiliates (“2GO”) collects and processes your personal information (“data”) to comply with requirements under the law, to fulfill legitimate and commercial
business transactions, to fully deliver the services in relation to your transaction with us, to improve our products, services, and processes, and enhance your customer experience. When applicable and pursuant to
the aforementioned purposes, your data will be processed by our authorized service providers and carriers. These may be transferred to competent government bodies, courts or regulatory authorities as may be
required. Your data shall be processed in accordance with the Data Privacy Act (DPA) and its Implementing Rules and Regulations. For more information on how your data will be processed and to know your rights
under the DPA, please read the 2GO Group, Inc. Privacy Policy posted in our outlets or at https://www.2go.com.ph/privacy-policy/. By proceeding with this transaction, you confirm that you read, understand, and
agree to the 2GO Privacy Policy and the data processing purposes stated above. Please be informed that your rights to: (1)be informed, (2)object, (3)access, (4)dispute errors, (5)erasure, (6)damages, (7) data
portability are fully respected by 2GO. You may opt out at any time by sending an email to dataprivacy@2go.com.ph.

Privacy Consent for the Non-transactional Processing of Personal Data (Please choose 1):
• I would like to receive information about the promos, products and services of 2GO and its subsidiaries. I allow 2GO and its authorized 3rd parties to process and share my personal data related to the purpose of
sending me said information and other related analytics and marketing activities.
• I do not wish to receive information about promos, products and services at the moment. Please exclude my data in any marketing activities.

ACCOMPLISHED BY (Name and Signature/Date) HALSEY R. ZATA / May 31, 2021

FOR 2GO USE ONLY

BOOKING NUMBER 0 VESSEL AND VOYAGE BOOKING REQUEST FORM NO. BRFMNLADD2020-xxx

ESTIMATED TIME OF DEPARTURE (ETD)

ESTIMATED TIME OF ARRIVAL (ETA)

NOTE: Any personal belonging is not allowed inside the vehicle.

REMARKS:

RECEIVED AND BOOKED BY (CRS Name and Signature/Date) GRI741

CIC: 2.0.1 Date Revised : January 20, 2021