BSP KKM 1. From (Shipper) 6. Ship To (Receiver) Contact Person Phone Number Contact Person Phone Number CHAN KAM MIN NORSYAFINAZ 0124080443 0351248118 Shipper / Company Name Consignee Name CHAN KAM MIN OFT CHEMICAL SDN BHD Shipper Address Receiver Address(We Do Not Deliver to P.O.Box) 20 JALAN BP5/10 NO,74 JALAN TAMBUR 33/19 BANDAR BUKIT PUCHONG SHAH ALAM TECHNOLOGY PARK SECTION 33
City State / Province City State / Province
PUCHONG SELANGOR SHAH ALAM SELANGOR Country ZIP/Postal Code Country ZIP / Postal Code MY 47120 MY 40400
Shipper's Account No Shipper's Reference No Receiver's Account No Receiver's Reference No
Shipper's Signature Date (DD/MMYYYY) Receiver's Name 22/07/2024
Time (HH/MM) Date (DDIMMYYYY) Time (HH/MM)
|3. Services Receiver's Signature
Product Group Product Type Receiver's ID No. DOX 4. Shipment Information No. of Pieces Gross Weight (kg) Chargeable Weight (kg) 1 0.16 0.16 Country Of Manufacture |Descriptionof Goods / Harmonized Code Custom Value Currency Sender's VAT/GST No Receiver's VATIGST No 5. Transportation Charges 8. Duties and Taxes D BillShipper A/C No: DBill Shipper D Bill Receiver A/C No: BillReceiver Default to Shipper Account If Not Selected Default to Receiver If Not Selected