COMPANY LETTERHEAD

Date

Simba Logistics, Inc.

7th Floor Tower-A TwoE-Com Center
Palm Coast Avenue, Mall of Asia Complex
Pasay City

Dear Sir/Madam:

This is to request your good office to refund container deposit with the following details:

Consignee: ________________________________________________
B/L No: ________________________________________________
EDC No: ________________________________________________
Amount: ________________________________________________
Payee: ________________________________________________

We hereby authorize any of the following named representative to claim the check:

Name Signature

a. __________________________________________ _____________________
b. __________________________________________ _____________________
c. __________________________________________ _____________________
d. __________________________________________ _____________________
e. __________________________________________ _____________________

In consideration of your complying to our request, we release Simba Logistics, Inc. or any of its principals
or officers from any liability accruing to the Container Deposit covered by EDC no. __________

Very truly yours,

Name & Designation of

Authorized Signatory