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Note: '*' denotes necessary fields.

1. Contact Information

 

           
*First Name :      

 Last Name

:

Designation

:

*Email

:

Company

:

*Tel

:

Fax

:
 Mobile :  City :
 Address :  Street1 :
 Pincode :  State  

 Country

:

 

   

2. General shipment details.

 

*Shipment from / Port of Loading.

:

*Shipment to / Port of discharge

:

*Final Destination

:

*Terms of delivery

:

*Commodity

:

Hazardous goods

:

Yes

 

No

 

*UN No.

:

*IMO Class

:

*IMO Sub Class 1

:

*IMO Sub Class 2

:

*Packaging Group

:

*Flash Point

:

3. Cargo details.

*Kind of shipment

:

Air

 

 Ocean

 

FCL

 

LCL

 

*Packaging Dimensions

:

*No. of packages

:

*Palletisation Required

:

*FCL / container type

:

*No. of containers

:

*Gross weight

:

Kgs

 

Lbs

 

*Net weight

:

Kgs

 

Lbs

 

Do you need insurance?

:

Yes

 

No

 

If yes, mention Cargo value in USD

:

Do you need inland transportation?

:

Yes

 

No

 

If yes, mention address of Factory/Ware house

:

Do you need document handling, i.e. customhouse brokerage?

:

Yes

 

No

 

 4. Any other information

 

You will have an opportunity to review and
confirm this enquiry before it is final.

 
 

  
 
 
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