April 6, 2021

The Deputy Collector for Operations

Port of MICP
Bureau of Customs

Subject: Request for Lifting/Continue Processing of Abandonment in the E2M system

of shipment covered by BL No _____________________

Dear Sir/Madam:

Undersigned is respectfully requesting for the lifting/continue processing of abandonment in the e2m
system of the shipment consigned to ______________________ covered by BL No _____________which arrived at
the MICP Port on April 18, 2021 on board Wisdom Grace 2111E with registry no SIC0063-21 and in support under
oath, thereof hereby depose and state that:

1. The shipment was tagged as “abandoned” in the e2m system for failure to file the good declaration within
the prescribed period due to late of shipping documents;

2. Thus, the request for lifting/continue processing of abandonment falls under Section 3 of CMO No. 24-
2015;

3. The request for lifting/continue processing of abandonment is not intended to violate or circumvent any
laws, rules and regulation;

4. The consignee undertakes to take full responsibility for whatever consequences or liability that may result
from approval of the request and release of shipment;

5. Attached are the following documents in support of subject request, to wit:

a. Bill of Lading
b. Commercial Invoice
c. Packing List
d. Secretary’s Certificate
e. ID Photocopy of Corporate Secretary
f. ID Photocopy of Authorized Representatives

In witness whereof, I have unto affixed my signature on this day of 6th day May 2021 at Manila
City.

_______________________
President

REPUBLIC OF THE PHILIPPINES)

MANILA CITY )S.S.

SUBSCRIBED AND SWORN TO BEFORE ME this 6 th day of May, 2021 in Manila City, Philippines, affiant personally
appeared before me and exhibited to me his Tin Card No. _________________________.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2021.