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ADDRESS *

STATE *

CITY *

PINCODE *

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GST NO. *

BILLING NAME *

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STATE *

CITY *

PINCODE *

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ODC CARGO

ORIGIN COUNTRY

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TRANSIT MODE

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COVERAGE TO

TRANSIT START DATE

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JOB NO.

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EXTRA % *

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DESTINATION COUNTRY

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WAREHOUSE TO WAREHOUSE

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TRANSIT START DATE

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COVERAGE

SETTLING AGENT

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CARGO DESCRIPTION

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SUB-PACKAGING

COVERAGE FROM

COVERAGE TO

TRANSIT START DATE

COVERAGE

BASIS OF VALUATION

Note:Tail-end risk from import is covered under Import tab (port to buyer’s warehouse)

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EXTRA % *

FREIGHT (INR)

SUM INSURED (INR) *

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TRANSIT MODE

TRANSIT TYPE

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COVERAGE TO

TRANSIT START DATE

COVERAGE

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Container Details

CONTAINER / BE NO. / BOOKING NO. *

CONTAINER SIZE *

CONTAINER VALUE (INR) *

SUM INSURED (INR) *

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BUYER / CONSIGNEE

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JOB NO.

ADDITIONAL INFO

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