SHIPPER'S INSTRUCTINS TO ARRANGE FOR SHIPMENT OF GOODS
From Shipper ("The Customer") To The Agent
HOSTMAP CONTAINER LINES LTD.
Air Frieght Services
Rm 1907, Hang Lung Centre, 2-20 Paterson Street
Causeway Bay, Hong Kong.
Business Tel. No. Tel : 2851 0308 Fax: 2581 9152
Reg. No. Fax. No.
Airfreight Prepaid ( ) Collect ( )
charges: (if service available)
Other Charges Prepaid ( ) Collect ( )
(if service available)
Country of Origin (Goods):
MAWB No. HAWB No. Export Licence No.
Name of Carrier Departure Airport Cert.of Origin No.
Destionation Airline Counter Signature Other
Specify Declared Value for Carriage Declared Value for Customs Insurance Amount Shipper's C.O.D.
Documents to accompany airwaybill or house airwaybill
Packing List Commercial Invoice Certificate of Origin consular Invoice
Special Instructions: Notify Party
No. and Kind of Packages:
Marks Nos.: Description Gross weight Measurement
The Agent acknowledges receipt of the above instructions frome the Customer. This SHIPPER'S DECLARATION
acknowledgement does not constitute an acceptance of the instructions by the 1. The Customer declars that all descriptions, values and other particular furnished herein are accrate
Agent. Acceptance of the instructions will be mark by way of the house of the and complete, the custiomer undetaken to indemnity the agent against all losses damages expenses
Agent's House AirWaybill. HouseAirbill, Air Consignment Note or the Air Carrier's lines and any other liabilities whatsoever arising from any inaccuracy or omission, evern if such inaccuracy
AirWaybill or other such similar documents. or omission is not due to any negilgence.
Where goods or documents are delivered to and accepted by the Agent before the 2. The Customer declares that pursuant to Condition 15 of the Conditions of Contract overlaeaf it shall be
Agent accepts the Customer's instruction, no liabitlity whatscover for such goods or responsible for all charges and expenses relating to the goods whether or not the charges and expenses
documents will be accepted by the Agent. If, however, the Agent is held to be liabel. are to be prepaid or collected.
all the Provisions of limitation of liabilties specified in the conditions of contract 3. The undersigned authorized officer of the Customer hereby declare that he has read the Con-
overleaf will apply. The Customoer shall reimburse the Agent with all expenses and ditions of Contrac overleaf and the
costs incurred and with indemnity the Agent for all losses and liabilities howscover terms and conditions appearing on Signatory's Name in Block Letters
caused. this page and that he fully
understands them and agrees on
Signature and stamp behalf of the Customer that they Signature and Stamp
should form part of the contract
which, upon acceptance to the above
instructions by the Agent, will be
conclueded between the Customer
Date: (Month / Day / Year) and the Agent. Date: Date(Month/Day/Year)