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(01) Booking Reference No.

: B/L INSTRUCTION FORM


(02) Service Contract No. : S.Q. No. :
(03) Shipper / Exporter:

(04) Consignee (complete name and address) :

(05) Notify Party (complete name and address) : (06) also Notify Party (complete name and address)

(07) Feeder Vessel / Voy. No. : (08) Mother Vessel / Voy. No. :
(09) Place of Receipt : (10) Port of Loading :
(11) Port of Discharge : (12) Place of Delivery :
(13) Container No. and Seal No. (14) Quantity and Kind (16) Measurement (M3)
(15) Description of Goods
Marks & Nos. of Package Gross Weight (KGS)

(17) TERMS OF PAYMENT: Prepaid Collect 3rd Country payment

(18) Type and number of 2SD 4SD 4SH 45SH 2RS 4RH *2SG *4SG *2FC *4FC *2FO *4FO
container(s)
` (23) ACI FILER
(19) B/L NO. (20) Number of Original B(s) /L :
(22) DANGEROUS CARGO YES NO
(21) Place of B(s) /L Issue/Date :
(24) SERVICE TYPE / MODE: YES NO AMS FILER YES NO
IF YES - SCAC CODE:

(25) Temperature: IMO CLASS NO.:

(26) PLEASE NOTE:


If container is fumigated, indicate fumigant used : Quantity : IMO Class #:

(27) REMARKS / SPECIAL INSTRUCTIONS :

LEGEND:
2SD/4SD - Standard Container
2RS/4RH - Reefer Container BOOKING RECEIVED BY / DATE
2SG/4SG - Hanger container
2FC/4FC - Flat Rack Container
2FO/4FO - Open Top Container
4SH - High Cube Evergreen Philippines Corporation

FORM NO. BI-CSD-001-00

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