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QBT Container Packing Application Client Exporter on Record Contact Date Shipment Size (mt)

* Grade as per GTA unless other wise specified

QBT Job #: Client Ref No. Exporter Ref No Product Grade* Season

Packing Instructions
Shipping Line Booking / Release Final Destination 1st Port of Discharge Qty of Containers Empty Depot Receiving Terminal Vessel Cutoff Fumigation (X) Fumigation comments dosage) Profume (eg FCL weight (min/max) Methyl Bromide 20' Equip. Availability 40' FQ Vessel Voyage # ETD ETA

Documents
EDN # Import Permit# Cert of Cleanliness required (X) Special Instructions / Comments RFP # Expiry Date Yes No

Sample Instructions Company Address Contact Contact Email Contact Phone Contact Phone Packing Inspection Details AQIS inspect required? 3rd party inspection? Contact Name Comments AQIS Yes No No Phone Email Company

QBT USE ONLY

Receival Window: Loadout dates:

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