Formulir Keterangan - Packing List

"*" indicates required fields

SHIPPER INFO (INFO PENGIRIM)

Shipper Address (Alamat Pengirim)*
Pengirim berada di*
Copy of submitted form will be send to this email. (Konfirmasi dari formulir keterangan ini akan dikirim ke email ini).

RECEIVER INFO (INFO PENERIMA)

Alamat penerima sama dengan alamat pengirim
Receiver Address (Alamat Penerima)*
Receiver Location (Lokasi Penerima)

Description of Goods (Perincian Barang)

This shipment is ship through {Pengiriman ini akan dikirim melalui):*
Tipe Barang Saya Adalah*
Asuransi $400 sudah termasuk di dalam paket pengiriman ini. Asuransi $400 HANYA AKAN BERLAKU untuk boks yang tidak sampai di tujuan. Jadi, $400 asuransi, tidak termasuk untuk barang yang rusak. Mohon packing barang anda sebagus mungkin. Apakah anda setuju dengan hal ini ?*
Insurance Fee (Harga Asuransi) 7% dari (harga "diasuransikan sebesar" dikurangi $400)

Terms & Conditions (syarat dan ketentuan)

I, the shipper, certify the particulars given in this form are correct. This form does not contain any undeclared dangerous articles, or articles prohibited by Legislation or by postal or customs regulations. I have met all applicable export filling requirements under federal law and regulations. Narcotics, hazardous drugs or materials, handguns, flammable radioactive, alcohol beverages, animal, life plants, effusion, and motor vehicle or parts are items which can detain fluency of shipment and check up in custom or toll, and which can result in confiscation. Maximum claim for loss or damage of shipment per shipper is $400. Extra Insurance can be purchased for a fee of 7% from “insured for”. Extra charge from customs that belong to shipper’s product because of the undeclared items, will be imposed
Terms and Conditions*

Clear Signature
This field is for validation purposes and should be left unchanged.