OIL INDUSTRY MANAGEMENT BUREAU Document Tracking Sheet DOCUMENT TRACKING NUMBER: 1646 CITIZEN'S CHARTER TIMELINE WATCH! pivsion: ism FROM/COMPAN Prin taming, in, suBIECT: npr tteeatng EAMS: #042 RESPONSIBLE TRCOMING aro pensonnev/un [pave] ime [sicwarune] pave | time [sigwarune| _ReMARS (Cau of Delay Ios CareRa | iam | — wn —| oareene [aos an] — aw ii DIVISION. ASST. DIR.'S OFFICE DIRECTOR'S OFFICE DOCUMENT SERIAL NUMBE!OIL INDUSTRY MANAGEMENT BUREAU. Annex F Notice to Import for Sale or Own Use — Lubes Products DEPARTMENT OF ENERGY 3" Floor, PNOC Building 5 Energy Center, Rizal Drive, Fort Bonifacio, Taguig City Attention: RINO E. ABAD Director Dear Sir/Madam bate: oi 2524 it In compliance with the Department Circular No. DC2021-09-0029, please be informed that we are notifying our application for importation as follows: A. Company Details (Applicant) yeeNe Business Name ‘Address Telephone Number Email Address Lube Business Activity (Blender, Marketer or Own User) B. Details of Shipment 0. 3. 4, mepeen ay Purpose (For Sale or Own Use) 1. Lubricating Product) 2. Name of Product Packaging per product Quantity of cargo a. Lube oils in liters b. Greases in kilograms c. Other lubricating products Supplier Loadport Estimated Loading Date (ELD) Estimated Arrival Date (EAD) Discharge Port Vessel Name . Voyage Number 2 TL PRIMO TLLUMINATI, INC: Funtty 204-23 ( ALPRA BUDG -SuBic: BAY 2 OA RLTARES [1634 70143400 ‘brokerage Burclorctrerght -Ph ae arerele * Type of Product Wyadten Ja Ox0GeN. 2 WSMCAHEG OlL- : Bottles > “PUERSE REFER FO SHIPPING POG " GENETAL PETROLEUM FZE 2 feBeL AU oO ‘0 Sle Ca, Port 2 ENE Lisson 0143 -OUl€ 0143 -OG@ leC. Estimated Price 1, Estimated Price per Unit (S/li, Sikg) = ANNOLY RUFFER tO CHUPPING BOCC 2. Pricing Term (CFR, FOB, etc.) + Attached Documentary Requirements 1, Proforma Invoice or Commercial Invoice; 2. Product brochure/ bulletin; and 3. Material Safety Data Sheet (MSDS). Very truly yours, Roun Wes Name designation & signature of applicant/ authorized representative Reminders/ Instructions: 1. Submit this application form with complete documentary attachments to OIMB before date of arrival; 2. Pay the application fee based on the Order of Payment if submission of application is complete; and 3. Issuance of acknowledgement shall be not ater than seven (7) working days from receipt of application.